Baptism Sign-Up Form

We Baptize the last Sunday of each month. | Please fill out the form and click submit. Thank you!

Baptism is the last Sunday of every month. Someone will be in touch soon with additional details and specifics via email in auto-response to form.

Name (Person being Baptized)

*

Birth date of individual being Baptized

*

Email (to send Baptism day info/instructions)

*

This address will receive a confirmation email

Mobile Phone

*

Address

*

Please indicate the month/time in which you are requesting to be Baptized.

April

Please select all that apply.

9:30AM

May

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

June

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

July

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

August

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

September

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

October

Please select all that apply.

9:30AM 11:00AM Monday Night 7 PM

November

Please select all that apply.

9:30AM 11:00AM Monday Night 7:00 PM

Pastor Preference - 1st Choice

*

Please select one option.

Pastor Randy Pastor Darla Pastor Rob Pastor Tyler Pastor Joe Pastor Michael Caleb Weaver Jesse Watson Marcy Zwall No Preference Other - please put the Pastor or Director's name below

If you chose other, please list the Pastor or Director's name here.

Pastor Preference - 2nd Choice. (Please choose a different person than your first choice)

*

Please select one option.

Pastor Randy Pastor Darla Pastor Rob Pastor Tyler Pastor Joe Pastor Michael Caleb Weaver Jesse Watson Marcy Zwall No Preference

Description

We Baptize the last Sunday of each month.

Please fill out the form and click submit. Thank you!

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