Holy Baptism ~Are You Ready To Be Made New?

Please fill out this form and click submit.

After you submit this form, you will Zoom information to join a virtual Pre-Baptism Gathering.

Thank you!

(1st) Candidate's Full Name

*

(1st) Candidate's Date of Birth (e.g. 6/1/1952)

*

(1st) Candidate's Gender

*

Please select one option.

Male Female

(2nd) Candidate's Full Name

(2nd) Candidate's Date of Birth (e.g. 6/22/1983)

(2nd) Candidate's Gender

Please select one option.

Male Female

Please select a baptism option?

*

Please select all that apply.

Sprinkle Immersion (12pm only)

Worship Experience (Baptism)

*

Please select all that apply.

8 AM (Sprinkling only) 10 AM (Sprinkling only) 12 PM (Immersion only)

1st choice desired date for Baptism:

*

Please select one option.

July 14, 2024 September 15, 2024 (Sprinkling only) November 10, 2024

2nd choice desired date for Baptism:

*

Please select one option.

July 14, 2024 September 15, 2024 (Sprinkling only) November 10, 2024

For the Parent(s) or Guardian(s) of the Candidate(s) - If not applicable, please note "n/a"

Parent/Guardian's Name (1)

*

Parent/Guardian's Name (2)

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Sponsor's/Godparent Name (1)

Sponsor's/Godparent Name (2) If Applicable

Have you previously attended a Pre-Baptism Gathering session?

*

Please select one option.

Yes No

If you said YES to the question above, when did you attend a Pre-Baptism Gathering?

Please share any questions or comments: (optional)

Description

Please fill out this form and click submit.

After you submit this form, you will Zoom information to join a virtual Pre-Baptism Gathering.

Thank you!

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