Dedication or Baptism Inquiry Form

Baptism or Dedication Interest

Thank you for considering Roser Church to host your Baptism or Dedication. Please complete and submit the inquiry form below, and we will respond as soon as possible. Thank you.

Your Name(Required)

First Last

Your Phone Number(Required)

Your Email Address(Required)

Your Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What sort of service are you interested in? (Choose one)

Preferred Service Date(Required)

If dedicating or baptizing a child, please list their name(s) and age(s)

Will you require a Roser Pastor to Perform the Dedication or Baptism?(Required)

Use this space to provide any other details or ask a question.

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Name

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