Baptism Intake Form
Please complete this baptism intake form so we can prepare your ceremony details and preferences.
Participant Information
Full Name
*
First Name
Last Name
Preferred Name / Nickname
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pronouns
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent / Guardian Name(s)
Relationship to Participant
Parent / Guardian Email / Phone
Ceremony Details
Baptism Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Service
*
Location Preference
Estimated Number of Guests
What does baptism mean to you or your family?
Any specific words, rituals, or symbols you'd like included?
Are there any words, phrases, or concepts you'd prefer we avoid or emphasize?
Would you like to include a reading, poem, or blessing?
Yes — we’ll provide one
Yes — please suggest options
No
Tone of Ceremony
Light and joyful
Reflective and sacred
A blend of both
Do you want the ceremony to reference a higher power, universal love, or simply personal growth?
Would you like to include a symbolic gesture?
Candle
Water
Other
Officiant and Follow-up Preferences
Dress code for officiant
*
Suit and Tie
Business Casual
Traditional Robes
Other
Would you like a commemorative certificate?
*
Yes
No
How did you hear about Forever Love Baptisms?
Anything else you'd like us to know to make this moment unforgettable?
Submit
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