Baptismal Date Request

Baptimal

Baptismal Date Request

"Jesus came from Galilee and was baptized by John in the Jordan." Mark 1:9 NIV
This form is to be submitted ONLY by those whom have completed baptismal studies and are now confirming a baptismal date. All others interested in baptismal studies should use the Church Membership Request form, for initiating the process. Thank you.

Enter your name as is to appear on your certificate. First and middle name may go in the "First" name box.

First Name

Middle Name

Last Name

Mailing Address

Street Line 1

Street Line 2

Country

City

State

Postal Code

Phone Number ( Cell )

Phone Number ( Home )

Birthday

Gender

Marital Status

Other Information

Pastor's name, email and phone #, you have contacted for baptism

What date(s) do you prefer?

A baptismal service is a special occasion that requires thoughtful preparation. Worship planning works weeks in advance, so please allow ample time to organize and schedule the service.

1st preference

2nd preference

If there are reasons preventing you from being baptized at CVAC, please let us know where (home, ocean, camp) you wish to be baptized.

Have you selected this date for a particular reason or special significance?

In a paragraph below, share, in a few sentences, about your commitment to Jesus and why you have chosen to be baptized. Also, tell us a little about yourself (hobbies, interests, family). Exceprts will be used for the bulletin.

Please upload a head shot photo for the church bulletin.

Choose File

Name of spouse or parent, if at the same addess (for accurate family grouping.)

The baptismal service is available on YouTube one hour after the conclusion of the service for viewing or sharing with others.