Infant Baptism Registration Form
Name(s) of Parent(s) *
Your answer
Street Address *
Your answer
City, State, and Zip *
Your answer
Contact Phone *
Your answer
Email Address *
Your answer
Child's Full Name *
Your answer
Child's Date of Birth *
Your answer
Born at (hospital) or Adopted from (country) *
Your answer
Baptism class you plan to attend *
Have you attended the Baptism class in the last 2 years? *
Requested Baptism Date *
Requested Worship Celebration *
Submit
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