Baptism Information Form

Parent 1 Name

Parent 2 Name

Member Status

Member Interested Member Non-member

This address will receive a confirmation email

Phone

Address

Physical Address is different than mailing address.

No Yes (please add below.)

Physical Address, if different than mailing

If you are having multiple children (twins, siblings, etc.) baptized at the same time, please fill out a form for each one. Thank you.

Child's Name

Child's Date of Birth

Child's Place of Birth

Siblings' Names, if any

Names of Sponsors, listed as they should appear in the program and on their Sponsorship Forms

Please fill out this form at least three weeks before your preferred baptism date and click submit. Your date will be secured and scheduled after this form is complete. A pastor will call you to set up your baptism class, if they haven't already.

Preferred Date of Baptism

Second Choice Date

Is there someone you'd like us to ask to be the Congregational Sponsor? A Congregational Sponsor is a member of Bethlehem who represents the congregation as they light the baptismal candle and read scripture as a part of the service. If you don't request someone, we will ask a member of Bethlehem.

Yes, please list below. No, please choose a Congregational Sponsor for us.

Congregational Sponsor Request Name

If multiple children are being baptized (twins, siblings, etc.), would you like them each to have their own baptism box?

Yes No

Anything else you'd like us to know?

Baptism Information Form

Description

Please Fix the Following