Body of Christ Assembly Baptism Form

Please fill out this form and click submit. Someone will contact you regarding your request.

Candidate Information - Must be at least 7 years of age to be baptized.

Today's date:

*

Requested Baptism date:

*

Name

*

Birthdate

*

Membership Status of the Candidate

*

Please select one option.

Member Non-Member

Gender

*

Please select one option.

Female Male

The certificate will be mailed to the address below.

Address

*

Who may we contact to confirm baptism and date?

First Name, Last Name

*

Phone

*

Is the number above your...

*

Please select one option.

Cell Home Work

Your Relationship to Candidate:

*

Please select one option.

Parent Legal Guardian Grand Parent Sibling Other Self

Your Email

*

This address will receive a confirmation email

Baptisms take place on the 1st Sunday of each month following Communion Service. Form must be submitted at least two weeks prior to Requested Baptism Date.

Description

Please fill out this form and click submit. Someone will contact you regarding your request.

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