Baptism Form

To request a Baptism, contact the pastor and complete the following form:

* Indicates required field

Name of Person Being Baptized-Last, First, Middle *

Date of Birth *

Birthplace *

Date of Baptism *

Date of Profession of Faith (for Adults or Teens) *

Officiating Pastor *

Additional Information *

Parents/Guardians Names (First & Last) *

Address *

Phone Number *

Email *

Sponsors or Godparents - Names (First & Last) *

Sponsors' Address & Phone *