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  • Baptism Form

    Please complete this form if you are interested in being baptized. Be advised that your requested baptism date is not confirmed until you've received a confirmation email from Centerpoint. A staff member will contact you shortly to begin the process of scheduling a baptism. Please contact our office at (334) 356-3076 with any questions.

  • Gender

  • Date of Birth (mm/dd/yy)

  • Parent/Guardian Name(s)

    if under the age of 18

  • Preferred Baptism Date & Service Time

  • Do you need seats reserved for friends/family? If so, how many?

  • Who would you like to preform your baptism?

  • Please specify

  • Please explain briefly why you want to be baptized: