Baptism Request Form

Gender *

Male

Female

Parent 1 Name

First Name

Last Name

Parent 2 Name

First Name

Last Name

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you a member of St. Paul's ? *

Yes

No

Requested Date of Baptism *

MM

DD

YYYY

Preferred Worship Service *

Sunday 8:30 a.m.

Sunday 10:30 a.m.

Wednesday 6:30 p.m.

Saturday 5:30 p.m.

Summer Sunday 9:30 a.m.