Baptism Registration

1
Campus* This field is required.
Gilroy
Hollister
2
Baptism Participant's Name* This field is required.
First Name
Last Name
3
Participant's Age* This field is required.
Elementary (5th grade and under)
Jr. High/High School (6th-12th grade)
Adult
4
Child's DOB* This field is required.
Date
Year
Month
Day
5
Child's Age* This field is required.
6
Child's T-Shirt Size* This field is required.
Please Select
Please Select
XS
S
M
L
XL
XXL
7
Parent/Guardian's Name
First Name
Last Name
8
Email* This field is required.
example@example.com
9
Phone Number* This field is required.
Area Code
Phone Number
10
Will you need special assistance entering the baptismal?
Yes
No
11
Unique ID
Should be Empty: