WOW Ministries Questionnaire Form

BAPTISMAL RESERVATION FORM

www.WOWMinistriesGlobal.org
Name

First NameLast Name
Date of Birth (Choose any year you desire!)

MonthDayYear
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Format: (000) 000-0000.
Best time to be reached
Email
example@example.com
Facebook Name
Have you received Jesus Christ as your Lord and Savior?
Please confirm that you would like to be baptized? (Matt. 28:19)
Additional Comments
Should be Empty: