Baptism Sign-Up Form

Baptism Sign-Up Form

Enter your details and answer the questions to register for Sunday, August 9th at 10:00 AM.
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Date of Birth

MonthDayYear
Date
Age
Have you accepted Jesus as your Lord and Savior?
Have you been baptized before?
Do you attend Lighthouse Freedom Center regularly?
Are you interested in learning more about taking the next steps in your walk with Jesus?
Should be Empty: