Water Baptism Registration Form

Water Baptism Registration Form

"Therefore we have been buried with him through baptism into death, in order that just as Christ was raised from the dead through the glory of the Father, so also we may live a new way of life." Romans 6:4
Name of person registering for baptism*

First NameLast Name
Birth Date*

MonthDayYear
E-mail*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Have you accepted Christ as your Savior?*
T-Shirt Size (Unisex Adult Size)
Would you like more information to better understand Baptism?
Additional Comments
Should be Empty: