Baptism Information Form

CHILD

Name

Middle

Birth Date

Place of Birth

Father's Name: First + Last

Member of Trinity?

Yes No

Mother's Name: First + (Maiden) Last

Member of Trinity?

Yes No

HOUSEHOLD

Address

This address will receive a confirmation email

Home Phone

Cell Phone

BAPTISM

If you have not yet scheduled the baptism, you may leave this section blank or enter any information known at this time.

Date of Baptism

Service Time

Pastor

Sponsor #1

Sponsor #2

Notes (Grandparents (Members), Special Circumstances, Etc.)

Description

For scheduled baptisms:
Please fill out this form and click submit.