Baptism Information Form

We believe that baptism is an awesome gift that God gives to us and we're excited that you want to be baptized. Please fill out the form and someone will be in touch with you to confirm the date and set up a meeting to prepare you for this special day. If you have any questions or problems filling out the form, please contact the church office -- 515-295-3518.

First Name of Person Being Baptized

Middle Name of Person Being Baptized

Last Name of Person Being Baptized

Male
Female

Date of Birth

Place of Birth

Father's Name

Church Membership

Mother's Name

Mother's Maiden Name

Church Membership

Address 1

Address 2

City

State

Zip/Postal Code

Email Address

Phone Number

Sponsor Name

Sponsor Address

Sponsor Church Membership

Sponsor Name

Sponsor Address

Sponsor Church Membership

Anything else you'd like to share?

Pick a Service Time

Desired Date for Baptism

Number of People Attending (Sponsors, family members, etc)

Submit Form