Baptism Sign Up Form

Please fill out the form below to sign up to be baptized. Submit one form per person being baptized.

FYI, Due to COVID-19, we will baptize in a new, very meaningful way. You will get very wet but will not be sharing water with other people.
Full Name *

First Name Last Name
Date of Birth *

Month Day Year
Parent Name(s)
If under 18 years old.
Address *

Street Address

Street Address Line 2

City State

Zip Code
Email *
Phone Number *
Gender *

Male Female
Preferred Service

9 am 11 am
Baptism Class *

Yes, I'll attend a meeting 30 minutes before the service I'll be baptized in.
T-shirt Size *
Should be Empty: