“For God so loved the world that he gave his one and only Son, that whoever believes in him shall not perish but have eternal life.“
John 3:16 | NIV

Baptism Request - Child

If you are interested in having your child baptized or yourself, please complete the form below, or contact us directly at (901) 484-1292.

Child's Name

First Name:

Last Name:

gender


child's age

(required)

Mother's Name

First Name:
(required)

Last Name:

Father's Name

First Name:

Last Name:

Address

(required)

(optional)

City, State, Postal Code
(required)



Your Email Address:

(optional)

Your Phone Number:

(required)