Full name of person being baptized
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
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Do you attend services at Calvary Chapel Las Vegas?
*
Yes
No
If not how did you hear about us? (Please note: You do not have to attend services at CCLV in order to be baptized. We simply would just like to know mor eabout you!)
Age of person being baptized
*
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Are you born again? When?
*
What does baptism mean to you?
*
Please choose a date
*
August 4th at 7:30pm at Calvary Chapel Las Vegas
August 25 at 3:00pm at The Harris Home
September 29th at 3:00pm at The Harris Home
October 27th at 3:00pm at The Harris Home
November 24th at 3:00pm at The Harris Home
December 29th at 3:00pm at The Harris Home
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