Adult Baptism Information Form

Congratulations on your decision to be baptized! Please know that Easter Hill staff will be more than happy to assist you during the preparation of your baptism. Please click on the following link for answers to your frequently asked questions. Please fill out the form below and submit.

Baptism Form - Adult

Today's Date*
Date Format: MM slash DD slash YYYY
Personal Information
Name of Adult*
First Last
Address*
Street Address City State ZIP / Postal Code
Phone*
Email*
Date of Birth*
MM
DD
YYYY
Place of Birth*
Date for Baptism*
First Choice Second Choice

Month, Day, Year: Ex. 1-8-2017 or January 8, 2017.
Parent Information
Mother/Parent
First Last
Father/Parent
First Last
Grand Parent Information
Name
First Last
Name
First Last
God Parent Information
Name
First Last
Name
First Last
Phone
This field is for validation purposes and should be left unchanged.

Baptism Form - Adult

Personal Information

Parent Information

Grand Parent Information

God Parent Information

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Easter Hill United Methodist Church

First Choice	Second Choice