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Infant Baptism

Please complete the Infant Baptism Request form and contact Claudia Dyle at at least two weeks prior to the baptism date.

"*" indicates required fields

Date of Baptism*
Service Time: 1st Choice*
Service Time: 2nd Choice*

Child's Information


Mother's Information

Father's Information

Home Address

Additional Information

If you do not know the exact number at this time, please feel free give an estimated range.
Please provide first names and ages.
Will You Need Childcare Durring the Baptism Orientation?
Are you a Covenant Partner (Member) of FPC?