Baptism

Address *

Phone number *

Birthdate *

Gender *

Who wants to be baptized? *

I want to be baptized.

My child wants to be baptized.

Name and age of child who wants to be baptized.

Is there a specific pastor you would like to baptize you? If so, who? Have you talked to this pastor about doing your baptism? *

Would you like any other person, beside the pastor, to be in the baptismal with you? If so, list their name and relationship to you.

What service do you want to be baptized? *

9:30 am

11:00 am

What size t-shirt (for the person being baptized) *

Comments or Questions?