Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Child Baptism & Dedication Sign-Up
Please fill out one per child.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Parent/Guardian First and Last Name (1)
*
Your answer
Parent/Guardian Email (1)
*
Your answer
Parent/Guardian First and Last Name (2)
Your answer
Parent/Guardian Email (2)
Your answer
Child's First Name
*
Your answer
Child's Middle Name
Your answer
Child's Last Name
*
Your answer
Child's Gender
*
Male
Female
Other:
Child's Birthdate
*
MM
/
DD
/
YYYY
Why have you chosen to Baptize or Dedicate your child?
*
Your answer
Do you have a short verse or blessing that you've chosen especially for your child, that you' d like us to read on their celebration day?
Your answer
Celebration Type
*
Baptism
Dedication
Please list some dates that work for your family. Kara will contact you to finalize a date.
*
Your answer
If you plan to have other children, godparents or sponsors join you on the stage, please provide their first and last names.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Genesis Church.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report