Baptism Request Form (Adult)
Please fill out this adult baptism form and be sure to click on the "submit" button when completed.
It is our custom to schedule baptisms on the fourth Sunday of the month.
Requested Date for Baptism
During which Worship Service?
*
Please select one option.
9AM Chapel Worship Wellesley
10AM Sanctuary Worship Wellesley
5PM Weston
3PM Chapel in the Pines (McKinnon Park)
No preference
Adult's Full Name (First, Middle, Last)
*
Date of Birth
*
City and State of birth
*
Home Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Best Contact Phone
*
Email
*
This address will receive a confirmation email
Names of family members & their relationship to you who will be in attendance
Relatives who are members of Wellesley Congregational Church?
Officiating Pastor
Submit
Description
Please fill out this adult baptism form and be sure to click on the "submit" button when completed.
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