Water Baptism Interest Form - The Village Chapel

Phone number *

Address

I am filling out this form becuase: *

I wish to be baptized

My child wishes to be baptized

I would like more information about baptism for myself

I would like more information about baptism for my child

If you are making this request on behalf of the child, please list the child's name below.

Please fill out the next section below with your child's info and their age.

Household members