Baptism Registration Form

Baptism Sunday
Full Name*

First NameLast Name
E-mail*
Phone*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Must Be 12 Years & Older
What Campus do you attend?*
T-Shirt Size*

SmallMediumX-LargeXX-LargeXXX-Large
Please select service time HP*
Please select service time Northwest Campus*
Please select service time Southwest Campus*
Please select service time Elgin Campus*
Should be Empty: