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 pastors.

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 samantha.woodruff@christunited.com.

Today's Date

YYYY

Information for Person being Baptized

Person's Full Name

Please list the name of the person's full name as you would like it to appear in the bulletin and on the baptism certificate.

Gender

Male

Female

Date of Birth

YYYY

Parent Information (if applicable)

Parent/Guardian's Name 1

Please list the guardian's name as you would like it to appear in the bulletin and on the baptism certificate.

Email Address

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Baptism Service

Service Location

Please select during which service you would like to have your child baptized

Desired Baptism Date

Date must be confirmed by the church

YYYY

Pastor Preference

Which pastor would you like to perform the baptism?

T-Shirt Size

Baptism Photos

Does Christ United have your permission to use your baptism photos for marketing purposes (i.e. social media, printer marketing, etc...)

Yes