Baptismal Information Sheet

Please fill out this form and click submit.

Name of Person to Be Baptized (First, Middle, Last)

Date of Birth

Place of Birth (City & State)

Gender

Please select one option.

Male Female

Primary Email

This address will receive a confirmation email

Mother's Name (First Maiden Last)

Mother's email (if different than primary)

Mother's Mobile Phone

Street Address

Mother's Church Membership

Father's Name (First Middle Last)

Father's Mobile Phone

Father's Email (if different than primary)

Father's Church Membership

If not a member of PCTR, what is your involvement and/or connection with this church and why do you wish to have your child baptized here? (Please be specific)

Are you married to the other parent of the child?

Please select one option.

Yes No

Are you and the other parent of the child living together?

Please select one option.

yes no

Are you a single parent?

Please select one option.

Yes No

If approved, please indicate the number of guests you anticipate will attend the baptism:

We celebrate Baptism on the second Sunday of the month (most months) and at our Saturday service.

Please indicate which dates you're requesting

Please select one option.

October 8/9 November 12/13 January 7/8 2023

Preferred service (pick one)

Please select one option.

Saturday, 5pm (Contemporary) Sunday 9:30 am Sanctuary (Traditional Worship) Sunday 10:30 am Fellowship Hall (Contemporary)

Notes:
1. At least one parent must be a confirmed professing Christian and a member in good standing of a Christian church.
2. Attendance at a baptism orientation is required. The office will confirm the date and time upon approval.

Since baptism is such an important sacrament at the heart of our faith, we reserve the right to refuse to administer it. Any of our ministers would be pleased to discuss this matter with any parent(s).

For Internal Use Only:

Received date:

Status:

Approved by Pastor:

Description

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Baptismal Information Sheet

Description

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