Baptism Notification Form
Use this form for new and re-baptized candidates
Scheduled Baptism Date
*
/
Month
/
Day
Year
Sender
*
Albert Jernigan
Keith Rodgers
Kimberly Vallair
Milton Whitley
Other
Sender's Email Address
*
No candidate
Number of candidates
Candidate 1
*
Gender/Age Category
*
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
*
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Date Class Completed
*
-
Month
-
Day
Year
Date
Candidate 2
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 3
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 4
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 5
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 6
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 7
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 8
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 9
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Candidate 10
Gender/Age Category
Male adult
Female adult
---
Male youth
Female youth
---
Male child
Female child
Birthdate
-
Month
-
Day
Year
Date
Parent/Guardian
Is the Parent/Guardian a member?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Date Class Completed
-
Month
-
Day
Year
Submit
Should be Empty: