Schedule A Baptism Schedule Your Baptism Full name of individual being baptized* First Middle Last Individual's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Phone*If baptism is for a child, please include:Parent(s) Name(s)First NameLast Name Photo of childPlease 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. CommentsThis field is for validation purposes and should be left unchanged.