Baptism and/or membership request

What is your request? (check all that apply)

I would like to be baptized I would like to become a member I would like to have my child baptized

Would you like to transfer membership from another church? Yes No

Your Name

This address will receive a confirmation email

Phone

Address

Date of Birth

May we share your birthday with the congregation for celebration purposes?

Yes No

Please fill out this section if you are requesting baptism for your child. This information will be used for our records and the baptism certificate.

Child's Full Name

Parent's/Guardian's Full Name(s)

Place of Birth

Child's date of Birth

May we share your child's birthday with the congregation for celebration purposes? Yes No

Description

If you would like to become a member of our church, be baptized, or have your child baptized, please fill out this form, and Pastor Steve will contact you.

Baptism and/or membership request

Description

Please Fix the Following