Baptism Request

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Name of person filling out the form *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Requested date of baptism *

At which service?

Do you have a request of the pastor you would like to officiate?

Special Requests

Name of person to be baptized *

First

Last

Date of birth *

City of Birth

Parent Name *

Parent Name (Including Maiden Name) *

Siblings Names

Are you members of First Church?

If not, do you belong to another church?

Name of Church

Are other members of your family members of First United Methodist Church of Orlando?

Please list all other family members who are members of First Church.

Name

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