Baptism Registration

We are so excited about your interest in Baptism.
Please fill out this form and click submit.
One of our staff or volunteers will be in contact with you soon!

We are so excited for your decision to be baptized and we cannot wait to celebrate this with you!
Baptism will take place on May 19th during both services!

Name

*

Age

*

If Baptism participant is under age 12, Add parent/guardians name below

Parent\Guardian Name if participant is Under Age 12

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Please upload a photo for our database. (Database use only) for us to be able to match faces with names

Upload (8MB)

Have you received Christ as Savior?

*

Please select all that apply.

Yes No

Which service would you like to be baptized in?

*

Please select one option.

9AM 11AM

Tell us your story.

Anything else you'd like to share?

T-Shirt Size

*

Please select one option.

Small Medium Large XL 2X 3X 4X

Description

We are so excited about your interest in Baptism.
Please fill out this form and click submit.
One of our staff or volunteers will be in contact with you soon!

Please Fix the Following

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