Baptism signup

Baptism Signup Form

The Bible says that all professing Christians should be baptized (Matthew 28:18-20). Whether you've been following Jesus for a long time and never got baptized or are a new Christian, we would be honored to baptize you!

Family Name

Childs First Name

Middle Name

Date of Birth

Hospital

Address

Country

City

State

Zip/Postal Code

Father's First Name

Last Name

Date of Birth

Mother's First Name

Last Name (include maiden)

Date of Birth

Current Address

Country

City

State

Zip/Postal Code

Phone Number

Email Address

God Parents

Date you'd like for the baptism

Special notes you'd like to share with us