Sign Up Baptism Form

Baptism Form for Union Cong
Baptized Person (*)
Enter child's name in this format Last, First, Middle
Last, First,Middle
Sex (*)
Please check female or male.
Birth Place (*)
Enter city and state where person was born.
City and State
Date of Birth (*)
Please enter date of birth for person to be baptized.
Street Address (*)
Invalid Input
City, State, Zip (*)
Enter City, state, zip
Best Contact Phone (*)
Provide phone number.
Parent 1 Name (*)
Invalid Input
Have you been baptized? (*)
Please check yes or no.
Are you presently a member of any church? (*)
Please check yes or no.
Church Affiliation
Invalid Input
Name of church you attend.
Parent 2 Name
Invalid Input
Have you been baptized?
Please check yes or no.
Are you presently a member of any church?
Please check yes or no.
Church Affiliation
Invalid Input
Name of church you attend.
Godparent 1 Name (*)
Enter Godparent name
Church Affiliation
Invalid Input
Name of church Godparent attends.
Godparent 2 Name
Church Affiliation
Invalid Input
Name of church Godparent attends.
Siblings
Name and age of siblings of baptized child.

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Get in touch

Union Congregational Church
176 Cooper Avenue
Montclair, NJ 07043
973-744-7424

infoucc@unioncong.org

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