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Worship | Baptism Request for Youth or Adult

To schedule a baptism, please complete the questionnaire below.

Note: Person submitting the form should complete the first four fields.

*First Name

*Last Name

*Email Address

*Phone Number

Person to be Baptized

Youth/Adult Full Name (First Middle & Last)

Name Called (Nickname)

Birth Date

If Youth, Parents' Names

*
Date/Service Requested for Baptism:

*Home Address - Street

*Home Address - City, State, Zip

How many family members/friends do you anticipate coming to the service?

Pastor Preference

*If available, preferred Pastor to officiate Baptism

No PreferenceSara HillRyan MooreJohn MusgraveSandra Randleman

Assisting Elder

*Choice of Assisting Elder

I would like to choose an ElderPlease select an Elder for me

Elders assisting at baptisms can be current or reserve FPC Elders. If you have asked an Elder to assist at the baptism, please provide their name below.

Name of Assisting Elder that You Asked (optional)

Comments/Special Requests

Click on the Submit Form button below to submit your request. After we receive your information, it will be reviewed, and then a pastor, or their assistant, will contact you. Thank you!

Submit Form

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