Water Baptism Registration

Name

Phone

Address

Date of Birth

If Born after May of 2005 please add Parent/ Guardian name and contact information.

Parent/Guardian's First Name

Parent/Guardian's Last Name

Relationship Mother Father Guardian

Parent/Guardian's Phone

Description

TBD at 10:00am Sunday Service

Please fill out this form and click submit. If you are under 18 years old you must fill out the fields for Guardian information.