Baptism Information Form
Please fill out the following information.
Full name of person being baptized:
*
First Name
Last Name
T-Shirt Size
*
Please specify if adult or child size
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Name of parents/guardians if under 18 years old AND their phone number(s):
If the person getting baptized is under the age of 18, their parent/guardian must sign below:
Baptism Date
*
April 26 @ 11am
July 26 @ 11am
October 25 @ 11am
Name of parent/guardian who signed above:
First Name
Last Name
Additional Comments
Submit
Should be Empty: