Baptism Request Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail Desired Parent Preparation Class Date - First Choice*September 24, 2015October 22, 2015November 29,2015December 17, 2015January 21, 2016February 25, 2016March 17, 2016April 22, 2016May 26, 2016June 23, 2016July 28, 2016August 25, 2016Class should be completed XX weeks prior to the child's baptism dateDesired Parent Preparation Class Date - Second Choice*September 24, 2015October 22, 2015November 29,2015December 17, 2015January 21, 2016February 25, 2016March 17, 2016April 22, 2016May 26, 2016June 23, 2016July 28, 2016August 25, 2016Class should be completed XX weeks prior to the child's baptism dateEnter your first and second choice belowFirst Choice* Second Choice* Comments or QuestionsSecurity Check