Infant/Child Baptism Scheduling Form

We are excited that you have chosen Liberty Barn Church for your child’s baptism. Please fill out the information below and we will be in contact soon.

Your name *

Email address *

Date requested *

Alternate date choice *

Child's Full Name *

Child's Date of Birth *

Child's Gender *

Female

Male

Child's Birthplace *

Mother's Full Name *

Type name as you would like them to appear in the bulletin.

Mother's Maiden Name

Father's Full Name *

Type name as you would like them to appear in the bulletin.

Phone number

Names, Birth Dates and Baptism Dates of Other Family Children

Are you currently a member of Liberty? (Or regularly attend?)

Yes

If not, do you plan to join Liberty?

Yes

Church Membership, if other than Liberty

Church Name, phone number & date joined

In which church family do you intend to raise your child?

Sponsor Information

Name, phone number & email

A Sponsor (referred to as a Godparent in some traditions) is a person, who agrees to assist in the nurturing of a baptized child in their faith. If you have chosen such a person or persons for your child, please complete the information below, and indicate whether they plan to be present at your child’s baptism.

Will the sponsor be present at your child’s baptism?

Yes

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