Baptism Request Form - First Missionary Baptist Church of Biloxi

Baptism Request Form

Please fill out and submit the form below to schedule your baptism.

Baptism of

Infant Youth Adult

Name

First Name

Last Name

Middle Name

Parent’s Name (if minor)

Mother:

First Name

Last Name

Middle Name

Email

Address

Phone Number

Father:

First Name

Last Name

Middle Name

Email

Address

Phone Number

Date in which you would like to be baptized. Please remember Baptisms are done on the 2d Sunday of every month.

*You will meet with Pastor Dickey prior to your baptism to discuss

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