COLISEUM PARK BAPTIST CHURCH

Baptism Request Form

Request baptism information and next steps.

Leave this blank

Name of Person Requesting Baptism (required)

Contact Name, if different (optional)

Contact Phone Number (required)

Contact Email (optional)

Is the person requesting baptism under 18? (required)

Parent or Guardian Name, if under 18 (optional)

Parent or Guardian Phone Number, if under 18 (optional)

Preferred Date, if known (optional)

Would you like to speak with the pastor first? (optional)

Questions or Accessibility Needs (optional)

Submissions are processed by FormSubmit and emailed to cpbc101@gmail.com. Share only information you are comfortable sending by email. Submission opens a new tab for any security check. Requests are subject to church review and do not confirm approval or scheduling.

Questions? Call 210.227.8967 or email cpbc101@gmail.com.