Baptism Form

Your name *

Last name

Email address *

Who is getting Baptized? (you can list multiple people.)

What size baptism shirt would you like? *

S

M

L

XL

2Xl

3Xl

If more than one person in your family is being baptized, please list their name and shirt size.

Address

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number

Phone type

MobileHomeWorkOther

Birthdate

Parents name if a child

Person doing Baptism

Dennis

Joseph

Eddie

Chris

Spencer

David

What service would you like to be baptized in? *

9:30am

10:45am

What date would you like to be baptized on? *

Submit

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