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Baptismal Information
Baptismal Request Form
If you have never visited New Life, we encourage you to visit for worship service and meet Pastor Rakel. If you wish to be baptized or have a child baptized, please complete this request form.
Baptism Information
Name of Person to be Baptized:
*
First
Middle
Last
Preferred Baptismal Date:
*
MM slash DD slash YYYY
Time of Service
*
8:15 am
10:15 am
Other
Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Email
*
Phone Number
*
Birthdate
*
Month
Month
1
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12
Day
Day
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Year
Year
2026
2025
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1920
Birth Place:
*
City and State
PARENT 1 Name:
*
First
Middle
Last
SURNAME at Birth:
Last
Member at New Life:
Yes
No
PARENT 2 Name:
*
First
Middle
Last
SURNAME at Birth:
Last
Member at New Life:
Yes
No
Sponsors Names:
Please list the first and last name of each sponsor.
Anticipated Number of Guests:
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Name of Officiate:
First
Last
This field is hidden when viewing the form
Name of Congregational Sponsor:
First
Last