Baptism Form

Baptism Request Form

Pathway Church of God
First Name
Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Phone Number

Area CodePhone Number
Have You accepted Christ as your Savior?
What size t-shirt would you like?
Baptism t-shirts will be provided by Pathway.
Any Question or Comments?
You will receive an email with things to remember and dress code as you prepare for Baptism. This is a special time in your life and we are excited to celebrate with you!
Should be Empty: