Baptism Request

Baptisms Are Scheduled On Non-communion Sundays Only
2nd and 4th Sunday of each month, or at the Saturday evening service
Baptism Date:
Service:





Name of Candidate:
Date of Birth:
Birth Place:
Father's Name:
  Member of COH?
Mother's Name:
  Member of COH?
Mother's Maiden Name:
Street Addres:
City:
State:
ZIP Code:
Email Address:
Phone:
Sponsor:
Sponsor:
Additional Information: