Baptism Registration Form

Baptism Registration
Candidate Information
Candidate Name

First NameLast Name
Birth Date

MonthDayYear
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number
E-mail
example@example.com
Are you a disciple of Transformation Church & Ministries?
Have you been baptized before?
Should be Empty: