Baptism with Calvary

New birth through water and the Spirit

Baptism Request Form

Please complete the form below and a pastor will contact you.

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Candidate's Name

First

Last

Candidate's Date of Birth

Candidate's Place of Birth

Candidate's Address

Address Line 1

Address Line 2

City

State

Zip Code

Email

Candidate or Sponsor

Phone

Candidate or Sponsor

Sponsor's Full Name(s)

Sponsor's Relationship to Candidate

Sponsor's Address (If Different Than Candidate)

Address Line 1

Address Line 2

City

State

Zip Code

Requested Date of Baptism

Please give top three preferences

Additional Preferences or Notes?

Preferred pastor, location, etc.