Water Baptism

WATER BAPTISM: Sunday, November 24th

You will be contacted regarding more details.
Name (As you would like it to appear on the certificate):*
Birth date:

MonthDayYear
Address:*
City:*
State:*
Zip code:*
E-mail:*
Home Phone:
Cell Phone:*
When did you begin attending The Mission?*

MonthDayYear
How long have you been a Christian?*
Is this the first time you've been baptized?*

NoYes
Comments:
Should be Empty: