Trinity Peoria - Baptism Form

Baptism Information

Please contact our Pastor to schedule a baptism prior to submitting this Baptism Information Form.

Baby's First Name

Last Name

Middle Name

Son
Daughter

Baptism Date & Service Time

Birthdate & Place

Father's First, Middle, Last Name

Member
Yes
No

Address 1

Address 2

City

State

Zip/Postal Code

Phone Number

Email Address

Mother's First, Last, Maiden Name

Member
Yes
No

Address 1

Address 2

City

State

Zip/Postal Code

Phone Number

Email Address

Please list sponsor name and city/state where they reside