Adult Baptism Request Form

* Indicates required field

Requested Baptism Date *

Requested Service Time *

8:30 am service 10:00 am service

First Name *

Middle Name *

Last Name *

Birth Date *

Home Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Member of NSUMC? *

Yes No

Godparent if applicable *

First

Last

Godparent if applicable *

First

Last

Additional Information *

Submit

Please allow 48 hours for a response

11735 N. Scottsdale Rd.
Scottsdale, AZ 85254

Sundays
8:30am and 10:00am

Office Hours
Monday - Thursday 9:00am to 3:00pm

Calls and emails received after 3:00pm on Thursdays will be returned the following Monday.