Baptism Registration Form

1

Who is getting baptized?* This field is required.

First Name

Last Name

2

Is the person an infant or toddler?* This field is required.

YESNO

3

Is the person being baptized a minor?* This field is required.

YESNO

4

Parent/Guardian Name * This field is required.A parent or guardian must register a minor for baptism.

First Name

Last Name

5

What's your email address?* This field is required.

example@example.com

6

What's the best mobile number to reach you?* This field is required.

Please enter a valid phone number.

7

What Sunday would you like to be baptized?* This field is required.1st Sunday of every month, during 10:30am service

8

Minors must have parental consent to be baptized. Does Living Waters Church have permission to publicly baptize your child?

YESNO

9

Photo Release Waiver for Minors* This field is required.Living Waters Church also has permission to use my child's photograph/video publicly to promote the church. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

I agree

I do not agree

10

Photo Release Waiver* This field is required.Living Waters Church also has permission to use my photograph/video publicly to promote the church. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

I agree

I do not agree

11

Please provide your signature.

Clear

12

Please provide your signature.

Clear

13

Due to our core beliefs regarding baptism, Living Waters does not perform infant or toddler baptisms. We encourage you to fill out our form for "Child Dedication". There is an explainer about child dedication at the beginning of that form which you can find HERE.

14

Communications Agreement* This field is required.Please read and accept the following conditions.