Baptism RegistrationWe are excited to walk with you as you take this important step of faith. Please complete the information below so we can prepare for your baptism.Your Name(Required) First Last Date of Birth MM slash DD slash YYYY Your Address Street Address Address Line 2 City ZIP Code How Can We Reach You?We would love to chat with you. How can we get in touch?Preferred Method of Contact(Required)EmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Best Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmHave you accepted Jesus Christ as your Lord and Savior? Yes No Unsure/ I have questions Spiritual Background(Required)Briefly share your testimony (Why do you want to be baptized?) Have you been baptized before? Δ Baptism RegistrationWe are excited to walk with you as you take this important step of faith. Please complete the information below so we can prepare for your baptism.Your Name(Required) First Last Date of Birth MM slash DD slash YYYY Your Address Street Address Address Line 2 City ZIP Code How Can We Reach You?We would love to chat with you. How can we get in touch?Preferred Method of Contact(Required)EmailPhoneYour Email Address(Required) Email Address Confirm Email Address Your Phone(Required)Best Time to Call You(Required)Select A Time12:00 am12:30 am1:00 am1:30 am2:00 am2:30 am3:00 am3:30 am4:00 am4:30 am5:00 am5:30 am6:00 am6:30 am7:00 am7:30 am8:00 am8:30 am9:00 am9:30 am10:00 am10:30 am11:00 am11:30 am12:00 pm12:30 pm1:00 pm1:30 pm2:00 pm2:30 pm3:00 pm3:30 pm4:00 pm4:30 pm5:00 pm5:30 pm6:00 pm6:30 pm7:00 pm7:30 pm8:00 pm8:30 pm9:00 pm9:30 pm10:00 pm10:30 pm11:00 pm11:30 pmHave you accepted Jesus Christ as your Lord and Savior? Yes No Unsure/ I have questions Spiritual Background(Required)Briefly share your testimony (Why do you want to be baptized?) Have you been baptized before? Δ
