EmailMe Form - SBCC Baptism Form

Name #1

Name#1 Birthday

MM / DD / YYYY

Name #2

Name#2 Birthday

MM / DD / YYYY

Name #3

Name#3 Birthday

MM / DD / YYYY

If you need to add any additional names and birthdays, please add them in the comment box below

Comment(s)

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/Guardian Email *

Phone *

### - ### - ####

	Child	Youth	Adult
Please Check Applicable Age Group(s)

*

	Yes	No
Are You a Member of SBCC?

If you are not a member of SBCC, you are required to meet with a pastor before the dedication ceremony. Someone will contact you to make an appointment.