Baptism

At Bethel we perform child and adult baptisms. If you or a loved one is interested in being baptized. You may fill out the form below and we will contact you. If you have specific questions about baptism. Please feel free to contact Pastor Steve Van Gilder.

Baptismal Information Form

* Indicates required field

Requested Date of Baptism *

Name *

First

Last

If you would like the middle name to appear on the certificate please list it here. *

Date and Place of Birth *

Mother/Female Guardian Name *

First

Last

Father/Male Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Name of Sponsor(s) *

Submit