Baptism Date Request

Baptisms are not scheduled on dates where there is Communion or any major Church holiday. Please refer to the website for a list of dates that baptisms are not available. We will email you to confirm your baptism has been scheduled.

Person being Baptized is*

a childan adult

Attended orientation*

YesNo

Baptism Orientation is required prior to scheduling a baptism. The class only needs to be attended once per family.

Date requested for baptism*

MonthDayYear

Campus you would like Baptism at*

NorthSouthWest

Baptisms are performed during worship sevices. The following is which worship service you would ike your baptism at.

Worship Time- SC*

6:00pm Wednesday8:30am Sunday10:45am Sunday

Worship Time- NC*

6:00pm Wednesday8:30am Sunday10:45am Sunday

Worship Time- WC*

6:00pm Wednesday10:45am Sunday

# of People attending*

This is used for pew reservation

Full Baptism Name (Please include middle name)*

Gender*

MaleFemale

Date of birth*

MonthDayYear

Place of birth*

Please put names as you would like them to appear on the Baptismal Certificate. Maiden names in parantheses are not included on certificates.

Mother's name*

Member of Hope

YesNo

Date of birth

MonthDayYear

Father's name*

Member of Hope

YesNo

Date of birth

MonthDayYear

Address*

City, State, Zip*

Phone Number*

Phone Number

E-mail*

E-mail

Sponsors(s):

Notes or questions