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 child an adult

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

Attended orientation *

Yes No

Date requested for baptism *

Month Day Year

Campus you would like Baptism at *

North South West

Worship Time- SC *

6:00pm Wednesday 8:30am Sunday 10:45am Sunday

Worship Time- NC *

6:00pm Wednesday 8:30am Sunday 10:45am Sunday

Worship Time- WC *

6:00pm Wednesday 9:30am Sunday

# of People attending *

This is used for pew reservation

Full Baptism Name (Please include middle name) *

Gender *

Male Female

Date of birth *

Month Day Year

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

Yes No

Date of birth

Month Day Year

Father's name *

Member of Hope

Yes No

Date of birth

Month Day Year

Address *

City, State, Zip *

Phone Number *

Phone Number

E-mail *

E-mail

Sponsors(s):

Notes or questions