• Baptism Information Card

    Congratulations on your decision to be baptized!  Baptism is an outward expression of an inward change.  It is your opportunity to publicly identify with the death, burial and resurrection of Jesus Christ.  Please provide the following information so we can connect with you and send a link to access your baptism certificate.  Thanks.  
  • Gender*
  • Baptism Date*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Are you under the age of 18?*
  • Contact Information

  • Birthday*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Today
     / /
    2 digit month, 2 digit day, 4 digit year
  • Whose Info?*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Should be Empty: