Baptism Request Form

Date: December 7, 2014

Baptism Service times are during the following services: 9:00am for adults and 10:45am for children.

Your Name *
Your Name
Address *
Phone Number *
Phone Number
Alternate Phone Number
Alternate Phone Number
Please indicate full name of person to be baptized, including middle name (needed for baptism certificate). If there is no middle name, please leave that area blank.
Birth Date *
Birth Date
Parent Name
Parent Name
Parent Name
Parent Name
Part of the baptism process is a Sunday morning class and a Dessert Reception on December 4th from 6:30pm - 7:30pm
The term "member" means you have attended the Newcomers membership class (or Communicants as a youth) and have been interviewed by an elder and accepted into membership at SRC.
Pictures Of Children (for slideshow during the baptism service)
Please e-mail a or bring it to the church office to be scanned by our graphic designer - your originals will be returned to you. Photo information is as follows: No blurry pictures or pictures with obstructions in front of the face. The background is always replaced with a backdrop that looks like water, due to the water backdrop, color photos are preferable.

A confirmation of your request and further information will be provided after your request is processed and will contain instructions for the day of baptism and confirmation of the day and time.