Application for Baptism

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We desire Holy Baptism for our child because we believe that the Lord Jesus Christ, the Redeemer of the world, ordained Holy Baptism for our salvation.

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Please select one option.

Yes No

We believe the Holy Bible, which declares that by Baptism our children enter a covenant with the Triune God.

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Yes No

We desire that our child remain a member of the kingdom of Christ, both here on earth and throughout eternity.

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Please select one option.

Yes No

To this end we pledge ourselves to give our child a Christian education.

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Please select one option.

Yes No

It is our purpose to assume all the responsibilities of godly parents, to provide a home which will be conducive to our child's spiritual welfare.

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Please select one option.

Yes No

We desire that our child be enrolled in the Nursery Roll of the church.

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Please select one option.

Yes No

Child's Name

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Middle Name (if they have one)

Birthdate

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Place of Birth

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Family Email

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This address will receive a confirmation email

Father's Name

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Father's Religion

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Mother's Name

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Maiden Name

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Mother's Religion

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Phone

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Address

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Sponsor's (Name, Address, Religion)

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Date of Baptism

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Time of Service/Baptism Desired

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Signature (checking box, is our signature that all information is correct to the best of our ability)

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Please select one option.

Yes

Other Children in Home (names, ages, and whether baptized or not)

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Description

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