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

Date of Service you would like to have this baptism:

Baptisms are held the 2nd and 5th Sundays of every month. No baptisms are scheduled during the season of Lent.

Time of Service:

Pastor you would like to have do the baptism:

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? *

Comment or Message *

I Am Not A Bot! *