Member Name Tag

Date Baptism requested*
Month
Day
Year
Worship service requested*
- 9:00am
- 11:00am
In order for us to be best prepared to celebrate your special day, please schedule at least a month in advance. Note: Not all Sundays are available. Be prepared with a second option.
Full Name of person being baptized*
Name as you would like it to appear on the certificate
Gender*
Date of birth*
Month
Day
Year
Place of birth*
Parent (s)/Guardian(s)*
Full name(s) (as you would like them to appear on the certificate, please separate with a coma if more than one name)
Email*
Phone*
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Address*
Street Address City State / Province / Region ZIP / Postal Code
Sponsors/Godparents*
Full Name(s) (as you would like them to appear on the certificate, please separate with a coma if more than one name)
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Email
This field is for validation purposes and should be left unchanged.

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