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Baptism Registration
Demographic Info
Applicant First Name
Applicant First Name is required.
Applicant Last Name
Applicant Last Name is required.
Email
Email address is not valid
Mobile Phone
Birthdate
Birthdate is required.
Gender
Male
Female
Gender is required.
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
May we send you text messages?
No
Yes
May we send you text messages? is required.
Optional Baptism Class
- Room 204
Adults & Students (6th Grade and up) |
Kids (5th Grade and under) | -
Must Attend with a parent/guardian
Baptism Class Selection
Yes - Adults & Students Class (6th Grade and up)
Yes - Kids Class (5th Grade and under. Must attend with parent/guardian)
No - I am unable to attend
Baptism Class Selection is required.
How many additional people will be attending the class with the registrant?
Faith Journey
Who is Jesus to you?
Who is Jesus to you? is required.
Why do you want to get baptized?
Why do you want to get baptized? is required.
Anything else you would like to share with us?
Submit