Baptism Info
Dear PCUMC Family,
In preparation for your upcoming baptism, please provide us with the following information. Thank you!
Baptism Information
Name of person being baptized
*
Middle Name
*
Date of Birth
*
Birthplace (city/town and state)
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent Information
Parent 1 Full Name (including maiden if applicable)
*
Parent 1 Phone
*
Parent 1 Email
*
This address will receive a confirmation email
Parent 2 Full Name (including maiden if applicable)
Parent 2 Phone
Parent 2 Email
Godparents & Sponsors
Name(s) of Godparent/Sponsor (if any)
Address(es) of Godparents/Sponsors
Service Information
Which date do you prefer for the baptism
*
Do you have a preference of pastors?
*
Please select all that apply.
No Preference
Scott Johnson
Service time preference
*
Please select all that apply.
Saturday - 5:00 PM
Sunday - 9:00 AM
Sunday - 11:00 AM
Please include a picture for projection
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Description
Dear PCUMC Family,
In preparation for your upcoming baptism, please provide us with the following information. Thank you!
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