Water Baptism Sign up

Please complete and submit this form and we will be in contact soon with more info. Thank you.

Email

*

This address will receive a confirmation email

Name

*

Gender

*

Please select one option.

Male Female

T-shirt size

*

Please select one option.

Child's Small Child's Medium Small Medium Large XL 2XL 3XL 4XL

Birthdate

*

Address

*

Phone

*

Have you accepted Christ as your personal Lord and Savior? (briefly explain)

*

Have you ever been Baptized in water before? (briefly explain)

*

Any additional notes or thoughts

*

Description

Please complete and submit this form and we will be in contact soon with more info. Thank you.

Close