Infant / Toddler / Child Baptism

    CANDIDATE INFO

    Full Name*:

    Birthdate*: (format mm/dd/yyyy)

    Birthplace*:

    PARENT INFO

    Mother's full name*:

    Father's full name*:

    Email*:

    Phone: (format XXX-XXX-XXXX)

    Address:

    Are you a member of Glen Mar Church?

    If not, are you a member of another church?

    Would you like to become a member of Glen Mar Church?

    If you belong to another church, which church are you a member of?

     

    What date do you prefer for the baptism? It must be a 3rd Sunday of the month.

    At which service would you like the baptism to occur?