HOME
LIVE
ABOUT
BELIEFS
OUR HISTORY
KIDS
YOUTH
CONNECT
EVENTS
GET BAPTIZED
BECOME A MEMBER
VOLUNTEER
RESOURCES
TSHIRT ORDER FORM
VIDEO MESSAGES
PHOTO GALLERY
ANXIETY RESOURCES FOR KIDS
CONTACT
CONTACT INFO
CHILD DEDICATION
GRADUATION CELEBRATION
PRAYER REQUEST
SUBMIT A REQUEST FOR ASSISTANCE
ADDITIONAL FORMS
GIVE
HOME
LIVE
ABOUT
BELIEFS
OUR HISTORY
KIDS
YOUTH
CONNECT
EVENTS
GET BAPTIZED
BECOME A MEMBER
VOLUNTEER
RESOURCES
TSHIRT ORDER FORM
VIDEO MESSAGES
PHOTO GALLERY
ANXIETY RESOURCES FOR KIDS
CONTACT
CONTACT INFO
CHILD DEDICATION
GRADUATION CELEBRATION
PRAYER REQUEST
SUBMIT A REQUEST FOR ASSISTANCE
ADDITIONAL FORMS
GIVE
BAPTISM REQUEST FORM
Baptism Request Form
Applicant's Information
Name
*
First
Middle
Middle
Last
*
Last
Gender
*
Male
Female
Age
*
Date of Birth
*
End Section
Contact Information
Contact Person
if different than applicant
Address
*
Phone Number
*
Email Address
*
Is applicant a child?
*
Yes
No
Father's Full Name
Mother's Full Name
End Section
Requested Baptism Date
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