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Baptism Ceremony Request Form
Baptism Ceremony Request Form
💧 Baptism Ceremony Request
Take the next step in your faith journey
Contact Information
Name
*
Address
*
City
*
State
*
Zip
*
Phone 1
*
Mobile
Home
Work
Phone 2
Optional
Mobile
Home
Work
Email
*
Additional Information
Have you been born again?
*
Yes
No
Are you a member of this church?
*
Yes
No
Age
*
5-12
13-19
20-29
30-39
40-49
Over 50
Current Weight
Optional - helps us prepare baptismal attire
Do you have any special considerations that we need to be aware of?
Optional
Do you have any physical handicaps, illness or other limitations that need special attention?
Optional - This helps us ensure a safe and comfortable baptism experience
Submit Baptism Request