Baptism Request

Baptism Request

Please fill out the following information below. We will call or e-mail you to schedule your baptism.
Mandatory Baptism Class (Must attend first):

Sunday February 15th at 5:00 PM at Church.

Baptism:

Sunday Februrary 15th during our 6:00 PM Service.
Baptism is for:

a childan adult
Name*

First NameLast Name
Name of Child Being Baptized: (If Applicable)

First NameLast Name
Date of birth:*

MonthDayYear
Address:*
City, State, Zip:*
Phone Number:*
E-mail:*
Notes or questions:
Should be Empty: