Baptism Information Form

Your name *

Email address *

Who is being baptized?

Please select whether you are filling out the form for yourself or for someone else: *

Place of Birth

Parent Information

If the person being baptized is a child, please fill in this section.

Father's Name

Mother's Name

Phone number

Address

Please share your religious background.

Sponsor Information

If the person being baptized is a child, it is a traditional practice to appoint sponsors (sometimes called Godparents) for the child who will pray for them, help teach them about Jesus, and help make sure that the child grows in the faith should anything happen to the parents.

Sponsor Name(s)

Please list sponsors' names and relationship to the person being baptized.

Baptism Request Information

What is your preferred date for baptism?

What is your preferred time?

Sunday, 9am

Sunday, 11am

Saturday, 5pm

Other

Special Requests?

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