Baptism Request - Pleasant Dale Church

Full name of person who would like to be baptized. *

Please type the name as you would like it to appear on the baptism certificate

A member of our ministry staff will meet with you to discuss the meaning of baptism & why you have chosen it at this time. Who would you prefer to meet with? *

When would you like to be baptized? *

You may choose a date that is already scheduled for baptism, or choose your own date!

Please select TWO ministry staff members to perform your baptism.

Pastor Jonathan

Pastor Elliott

Pastor Bekah

Bridgette Ripley

Chris Hannah