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*
Best time to be reached*
Email*
example@example.com
Facebook Name
Have you received Jesus Christ as your Lord and Savior?*

YesNoNot Sure
Please confirm that you would like to be baptized? (Matt. 28:19)*

YesNo
Additional Comments
Should be Empty: