Schedule A Baptism

Full name of individual being baptized*
First Middle Last
Individual's Date of Birth*
Email*
Phone*
If baptism is for a child, please include:
Parent(s) Name(s)
First Name Last Name
Photo of child
Please upload a high-resolution photo of the child to be displayed during baptism ceremony.
Accepted file types: jpg, gif, png, pdf, Max. file size: 300 MB.
I understand that a requirement for Baptism at The Water's Edge is a Baptism Class and agree to attend the class. (Please note, a member of our staff will contact you to schedule your Baptism class.)*
- I agree
- I have questions/concerns. Please contact me.
Phone
This field is for validation purposes and should be left unchanged.

If baptism is for a child, please include:

First Name	Last Name