Baptism Form

Baptisms are held the last Sunday of every month following the 11:30 AM service.

Name (Person being Baptized)

*

How would you like your name to read on your certificate?

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Date of Birth

*

Shirt Size

*

Please select one option.

Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL

Over 18?

*

Please select all that apply.

Yes No

Parent Name (if under 18)

Grade in School

Please indicate the month in which you are requesting to be Baptized.

Month & Date

*

Please select one option.

April 30th May 28th

Description

Baptisms are held the last Sunday of every month following the 11:30 AM service.

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