Baptism Interest Form

At Impact Church, baptism is a celebration of the outward show of God's amazing grace and is truly a gift to us all.

Please note: The dates you select below are your preferences, and we will do our best to accommodate. However, all baptism dates will be assigned and confirmed, as they fill up quickly.

After you submit this form, you will receive Zoom information to join a virtual Pre-Baptism gathering. This gathering is required in order to be baptized or to have your child(ren) baptized.

Thank you!

First Name (of Baptism Candidate)

Last Name (of Baptism Candidate)

Candidate 1 Birthdate

Full Name of Parent/Guardian 1 (if applicable)

Full Name of Parent/Guardian 2 (if applicable)

If you have a second candidate (in the same family) being baptized, please enter their name & D.O.B here.

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Gender

Gender (of second candidate, if applicable)

Please select a baptism option:

Sprinkling (8am)

Sprinkling (10am)

Immersion (12pm)

Please select your desired baptism date:

July 14, 2024

September 15, 2024 (Sprinkling Only, No Immersions)

November 10, 2024

Please select an alternate baptism date:

July 14, 2024

September 15, 2024 (Sprinkling Only, No Immersions)

November 10, 2024

Full Name of Sponsor/Godparent 1 (if applicable)

Full Name of Sponsor/Godparent 2 (if applicable)

Please confirm that the candidate(s) have not been baptized before.

I confirm that the candidate has NOT been baptized before.

The candidate has already been baptized.

After submitting this form, you will receive additional information about joining this meeting (including the Zoom link). We look forward to seeing you!

Thank you!