Baptism Request
Please fill out this form and click submit.
Candidate for Baptism
Name of Person to be Baptized
*
Middle Name
*
Date of Birth
*
Born In (city, state)
*
Gender
*
Please select one option.
Male
Female
Father's Name (first middle last)
*
Mother's Name (first maiden last)
*
Sponsors' Names
(names and ages of any siblings)
*
(names and ages of any siblings)
Baptism Service Information
Person requesting this service
*
Requested Date of Baptism
Service Time
*
Please select one option.
9:00 Traditional
11:00 Contemporary
11:00 en español
Private
Family Contact Information
Email
*
This address will receive a confirmation email
Mobile Phone
*
Address
*
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Submit
Description
Please fill out this form and click submit.
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