Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Are You A Member of Victory City Church? All are welcome!
*
Yes
No
Age
*
Tshirt Size
*
Please Select
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Medium
Large
X-Large
2XL
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4XL
A change of clothing is provided for the Baptism.
Pants Size
*
Please Select
Small
Medium
Large
X-Large
2XL
3XL
4XL
A change of clothing is provided for the Baptism.
Which date are you registering for?
*
4/29/26 at 7:30pm - Wednesday Night Refuel Bible Study Service
5/03/06 at 11:30am - Victory Praise Celebration
Which date are you registering for?
*
4/29/26 at 7:30pm - Wednesday Night Refuel Bible Study Service
Address
*
Street Address
Street Address Line 2
City
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