Baptism Registry

"Baptism Registry"

All Candidates for Baptism are asked to complete the form below
If you are registering more than on person, please complete a separate form for each candidate.
Baptism Candidate Name*

First NameLast Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Baptism Candidate's E-mail*
example@example.com
Baptism Candidate's Cell Phone Number*
Baptism Candidate's Date of Birth*

MonthDayYear
Baptism Candidate's Age*
Baptism Candidate's Gender*
Ministries Interested In?

ChoirUshersYouth DepartmentHospitalityCulinaryMedia MinistryMen's MinistryMissionYoung AdultsOutreachOther
If a Minor - Parent's Name

First NameLast Name
If a Minor - Parent's Phone Number
If a Minor - Parent's E-mail
example@example.com
If a Minor - Parent Mailing Address (If different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
If a Minor Parent/Guardian Signature

First NameLast Name
Today's Date*

MonthDayYear
Date
Type a question*

Youth SmallYouth MediumYouth LargeYouth X-LargeAdult SmallAdult MediumAdult LargeAdult X-LargeAdult XX-LargeAdult XXX-Large
Comments and/or Questions:
Should be Empty:

"Baptism Registry"