BAPTISMAL INFORMATION
First Presbyterian Church
356 Summit Road
Springfield, PA 19064
_____________________________________________________
Name of Child/Person
Date of Birth ___________________________________
Place of Birth ___________________________________
Parents names
Mother ___________________________________
Church
Member ( ) Non Member ( )
Father ___________________________________
Church
Member ( ) Non Member ( )
Address ___________________________________
___________________________________
Phone Number ___________________________________
E-mail ___________________________________
Sponsors ___________________________________
___________________________________
FOR SESSION USE ONLY
OFFICIATING PASTOR _____________________________
DATE OF BAPTISM _____________________________