Baptism Request Form

We rejoice with you as you consider baptism! Please complete this form so we can begin planning this celebration of God’s grace. Once you fill out the form, please click "Submit," and we will be in touch with you as soon as possible. Thank you.

Person Being Baptized

Full Legal Name

*

Date of Birth

*

Place of Birth (city/state)

*

Baptism For

*

Please select all that apply.

Infant/Child Youth Adult

Parent/Guardian(s) (if applicable)

Parent/Guardian 1

*

Parent/Guardian 2

Address

*

Phone

*

Email

*

Baptism Scheduling

Preferred Date

*

Alternate Date

*

Preferred Setting

*

Please select all that apply.

Sunday Worship Off Site

Estimate Number of Family members and Guests

Sponsors / Godparents

Sponsor / Godparent 1

*

Sponsor / Godparent 2

Additional sponsors

Connection to Immanuel

Connection

*

Please select all that apply.

Member Regular Attendee Family Connection New to Immanuel Other

Additional Information

Is there anything you would like the pastor to know?

After receiving your request, the pastor will contact you to confirm details and arrange a baptism preparation conversation.

Description

We rejoice with you as you consider baptism! Please complete this form so we can begin planning this celebration of God’s grace. Once you fill out the form, please click "Submit," and we will be in touch with you as soon as possible. Thank you.

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