Adult Baptism Form

Please fill out this form for the person to be baptized. Pastor Jonathan will respond as soon as possible if you have not already spoken with him about baptism.

Your name *

Email address *

Middle Name

Nickname

Phone number *

Do you consent to receive text messages? *

You are consenting to receive reminders and announcements via text message from Beautiful Savior Lutheran Church. Text message frequency varies and message and data rates may apply. Reach out to office@bslcantioch.com with questions. Message and data rates may apply. Reply STOP to unsubscribe from messages.

Desired Baptism Date *

Pastor Jonathan will confirm availability of this date with you. Additionally, if you are unsure of this date, please let him know.

What is your religious background? Why do you desire to be baptized? *

Address *

Birthdate *

Gender *

Household members

Please help us get to know your family!

Family Spiritual Information *

All others in my household are baptized

Others in my household desire to be baptized

Other

Your Personal Information

Marital status *

Anniversary date

Maiden Name

Where were you married? (If at a church, provide the name)

Occupation

Interests and Skills

Father's Name

Mother's Name

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