Baptism Request Form Baptism form to be completed prior to baptism Contact DetailsDate MM slash DD slash YYYY Name(Required) First Last Email(Required) Enter Email Confirm Email Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Gender(Required)MaleFemaleDate of birth(Required) MM slash DD slash YYYY Consent if applicant is a minor. I consent to my child being baptizedParent or Guardian Name First Last Membership Status(Required)MemberVisitorAttendeeMarital Status(Required)MarriedSeparatedDivorcedSingleWould you like a printed certificate(Required) Yes No Δ
