Baptism Request Form

Thank you for your interest in baptism at Ctk. please fill out the form below.

* Indicates required field

Requested Baptism date *

Service time preference *

8:15 a.m. 9:30 a.m. 11:15 a.m.

Location if not at CtK *

Would you like to meet with the Pastor prior to the Baptism? *

Yes No

Baptismal candidates first, middle and last name *

Candidates gender *

Male Female

Candidates birth date *

Candidates birth place *

Fathers name *

First

Last

Mothers name (please include maiden name) *

First

Last

Baptismal sponsor (godparents) first and last name *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

How did you hear about us? *

Submit