Baptism Request Form

Being baptized is an important part of the journey of each person’s faith. If you are considering baptism for yourself or your child, please complete and submit the form below. Someone will then contact you to set up an appointment with one of our pastor.

NOTE: During the baptism, we would like to display a picture of the person being baptized on our worship screens. Please forward a picture to use during worship to courtney.young@christunited.com.


Today's Date *
Today's Date
Child's Information
Please list your child's full name as you would like it to appear in the bulletin and on the baptism certificate.
Child's Gender
Child's Date of Birth *
Child's Date of Birth
Parent Information
Please list the mother's name as you would like it to appear in the bulletin and on the baptism certificate.
Please list the father's name as you would like it to appear in the bulletin and on the baptism certificate.
Phone *
Phone
Address *
Address
Baptism Service
Please select during which service you would like to have your child baptized
Desired Baptism Date *
Desired Baptism Date
Date must be confirmed by the church
Which pastor would you like to perform the baptism?