Baptism Request

© Copyright 2011. First United Methodist Church of Orlando, All right reserved. The Cross and Flame is a registered trademark, and the use is supervised by the General Council on Finance and Administration (GCFA) of The United Methodist Church. Permission to use the Cross and Flame must be obtained from the GCFA, Attn: Legal Department, Post Office Box 340029, Nashville, TN 37203-0029; phone 615-369-2334; fax 615-369-2330.

Person Requesting this Service*	Name of Person to be Baptized*
Requested Date of Baptism*	During Which Service? 8:30 a.m. 9:30 a.m. 11 a.m.
Do you have a request of the pastor you would like to officiate? Rev. Tom McCloskey Rev. Brian Johnson Rev. Rodney C. Wallace No request
Date of Birth*	City of Birth
Father’s Name*	Mother’s Name* (including maiden name)
Siblings Names
Are you members of First United Methodist Church of Orlando? yes no
Are other members of your family members of First United Methodist Church of Orlando? yes no
If not, do you belong to another church? yes no
First Name*	Last Name*
Street Address	Apt/Suite Number
City	State
Zip
E-mail Address*	Phone Number*
Please list all other family members who are members of First Church.
Special Requests


* Required Iinformation

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