Celebrate and share God's GRACE

Baptism Form

Date Baptism requested:

In order for us to be best prepared to celebrate your special day, please schedule a month in advance.
Note: Baptisms may not be scheduled August 1 or, 20; October 1 or 22; March 25, or April 1.

Worship service requested:9:00 am11:00 am

Full Name of person being baptized (first, middle and last):

Gender: Male:Female:

Date of Birth:

Place of Birth:

Parent (s)/Guardian(s):
Full name:

Full name:

Contact information:




Full Name:

Full Name: