Baptism Form

First name of person being baptized: *

Middle name of person being baptized: *

Last name of person being baptized: *

Name the person "Goes By": *

Date of birth of person being baptized:

Gender

• Female
• Male

Date of Service you would like to have this baptism:

Time of Service:

• 8:30 a.m.
• 11 a.m.

Pastor you would like to have do the baptism:

• Donovan Drake
• Guy D. Griffith
• Heidi Hudnut-Beumler

Do you have a particular person in mind for the infant presentation:

Mother's name:

Mother's email:

Father's name:

Father's email:

Are the parents members of Westminster Presbyterian Church? *

• Yes
• No

Comment or Message *

I Am Not A Bot! *

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