Infant/Child Baptism Request Form

Infant/Child Baptism Form
Date

MonthDayYear
Date
Member

YesNo
Parent(s) Name(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Number

Area CodePhone Number
Email
example@example.com
Child's Name
Date of Birth

MonthDayYear
Date
God Parents' Name(s)
Other Information
(i.e.grandparents, etc)
Number of Attendees:
Date requested for Baptism Service*

MonthDayYear
Date
Upon completion of this form, you will be contacted with the date of the baptism service. If there are any questions, you may contact Sis. Ariel Nash at 404-827-9707 ext.105
- Date scheduled for the baptism service
  
  MonthDayYear
  Date
- Requestor Contacted
  
  YesNoOther
- Date
  
  MonthDayYear
  Date
- Should be Empty: