Baptism Sign-Up
Sunday, September 20th
Full Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email Address
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Carrier
*
Verizon, AT&T, T-Mobile, Spectrum, etc.
Which service would you prefer:
*
Please Select
9:30 am Celebration
9:30 am Encounter
11:00 am Celebration
Who would you like to Baptize you?
*
Please Select
Pastor Phillip
Pastor Brent
Pastor David
Pastor Nic
Pastor Todd
Pastor Colin
No Preference
What is your t-shirt size?
*
Please Select
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Child S
Child M
Child L
Child XL
Is there anything you'd like us to know?
Sign Up
Should be Empty: