Baptism Sign-Up Form

Name

This address will receive a confirmation email

Phone

Address

Parent/Guardian (If under 18)

Name

Phone

This address will receive a confirmation email

Spiritual Background

Have you accepted Jesus Christ as your Lord and Savior? Yes No Not sure

Have you been baptized before? Yes No

If yes, when and where?

Why would you like to be baptized?

Notes/Questions

Description

Please fill out this form and click submit.