Baptism

After this form has been submitted, someone will contact you to finalize Baptism arrangements.

Your name *

Email address *

Phone number

Address

Baptism Applicant Information

Please fill out the following information for the individual who will be baptized.

Name *

First, Middle, Last

Gender *

Birthdate *

Name of Parent(s) *

Parent Email Address

If someone other than a parent is filling out this request, we also need the parent's email address.

Sponsor Name(s)

Please fill out the following to help us get your baptism scheduled.

Baptism at which Location? *

Date Request *

Please select a possible baptism date.

Additional Date Request

Additional selection for possible baptism date.

Additional Date Request

Additional selection for possible baptism date.

Pastor Request *

Additional Comments

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.