Baptism Information

Baptism Information
Child's Information
First
Middle
Last
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Birth Date

Month Day Year
Birth Place
Baby's Gender
Choose the Congregation in which the baby will be a member
Parent and Sponsor Information
Mother's Name

First Name Last Name
Father's Name

First Name Last Name
Parent's Phone Number

Area Code Phone Number
Parent's Email address
Parent/Guardian should at least choose one baptized Christian as a Godparent.
Sponsor's Name
Baptized Christian *

Yes No
Sponsor's Name
Baptized Christian *

Yes No
Sponsor's Name
Baptized Christian *

Yes No
On the day of the baptism, how many visitors do you anticipate attending the Beloved Community?
* indicates that the question must be answered in order to submit the form.
Should be Empty:

Parent and Sponsor Information