Child Baptism Application
This form is for a child (ages 2nd-5th grade) who would like to be baptized.
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Parent(s) Names *
Email Address *
Phone *
Child's Name *
Birthdate *
MM
/
DD
/
YYYY
Why do you want to be baptized? *
Tell us about yourself... *
What do you like to do in your free time?
How and when did you accept Christ? *
How is He affecting your life?
Your public profession of faith... *
For example, today I want to be baptized to tell others I love Jesus and want to follow Him the rest of my life.
Who is your Community Group Leader & who will be baptizing you? *
T-shirt size? *
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