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To request a Baptism, contact the
pastor
and complete the following form:
Baptism Form
*
Indicates required field
Name of Person Being Baptized-Last, First, Middle
*
Last, First, & Middle Name
Date of Birth
*
Birthplace
*
Date of Baptism
*
Date of Profession of Faith (for Adults or Teens)
*
For Adolescent or Adult Only
Officiating Pastor
*
Additional Information
*
Parents/Guardians Names (First & Last)
*
Address
*
Phone Number
*
Email
*
Sponsors or Godparents - Names (First & Last)
*
Sponsors' Address & Phone
*
SUBMIT