Baptismal Candidate

Prefered Date of Baptism Service Time 9:30AM

2nd Choice Date of Baptism - Service Time 9:30AM

Baptismal Candidate's Information

Baptismal Candidates Full Name First/Middle/Last

Date of Birth

Male or Female?

Male Female

Place of Birth City/State

Parent/Guardians Information

Parent/Guardian Name (if a child)

Address

Phone

This address will receive a confirmation email

Parent/Guardian Name (if a child)

Address

Phone

Are you a member or associate member at Resurrection?

Yes No Interested

Sponsors Information

Sponsors Name

Sponsors Address

Sponsors Name

Sponsors Address

Description

Once complete, this form will be forwarded to the church office. Pastor Paul will be in touch soon to discuss the details. If you have any questions, please contact him at pastor@goresurrction.com or 321-783-0852.

Baptismal Candidate

Description

Please Fix the Following