Infant/Child Baptism Request Form

Address

Contact Number

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

Month Day Year
Date Date Picker Icon
God Parents' Name(s)
Other Information
(i.e.grandparents, etc)
Number of Attendees:
Upon completion of this form, you will be contacted with the date of the baptism service. If there are any questions, you may contact Rev. Charmain Purvis at 404-827-9707 ext.105