Baptism Request

Baptism Request Form

If you are interested in Baptism, submit this form and a pastor will be in contact with you soon.

Who would you like to be baptized?

Adult

Child/Youth

Child/Youth Date of Birth

Child/Youth Full Name

Name Child Goes By

Date of Birth

Full Name

Name you go by (if different than stated above)?

Parent/Guardian (1) Full Name

Is Parent/Guardian (1) a member of Central

Yes

Is interested in becoming a member

Parent/Guardian (1) Phone Number

Parent/Guardian (1) Email

If you do not have another Parent/Guardian to enter, just click NEXT.

Parent/Guardian (2) Full Name

Is Parent/Guardian (2) a member of Central

Yes

Is interested in becoming a member

Parent/Guardian (2) Phone Number

Parent/Guardian (2) Email

Do you have any other family members who are also members of Central UMC or connected in any way? If so, please enter them below.

Name of family member

How are they connected to CUMC?

If you do not have any family members connected to CUMC, just click NEXT.

What date would be your 1st preference for Baptism?

What date would be your 2nd preference for Baptism?

Is there any other information that we need to know about you or your child(ren)/youth to help the baptism run as smoothly as possible?

What date would be your 1st preference for Baptism?

What date would be your 2nd preference for Baptism?

Is there any other information that we need to know about you to help the baptism run as smoothly as possible?