Baptism Sign Up Form

We are so excited to help you make your decision to follow Jesus publicly through our next baptism! Please fill out this form and one of our team members will be contacting you the week leading up to baptism!

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First Name

Last Name

Date of Birth (MM/DD/YYYY)

Gender(required)

Male Female

Shirt Size (YM-A3XL)

Phone

Street Address

City

State

Postal / Zip Code