Navigation Menu

Baptism

Home » Baptism

Person to be Baptized

First

Middle

Last

As it would appear on the certificate

Request Date of Baptism

Requested Worship Service

8:30 AM Traditional
9:30 AM Traditional
11 AM Traditional
11 AM Open Door

Requested Minister to Perform the Baptism

Email *

Phone *

Adult
Youth
Child

Male
Female

Date of Birth

Place of Birth | County

Father's Name

As it would appear on the certificate

Mother's Name

As it would appear on the certificate

Address

Address Line 1

Address Line 2

City

State

Zip Code

Number of Family/Friends that will be in attendance

Any Special Accommodations Needed?

Additional information that would be helpful for us to know:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email