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B A P T I S I M S
Your name
*
Last name
Email address
*
Gender
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Male
Female
Birthdate
Date
Phone number
*
Phone type
Mobile
Home
Work
Other
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Please select the service you would be attending.
*
Select…
9:00am
11:00am
Baptism Video and/or Spoken with a Leader Acknowledgment
*
I have watched this video and/or spoken with a Leader. I would like to be baptized.
If registering a child, are you the Parent and/or Legal Guardian?
*
Yes
N/A - Not registering a child; I am an adult registering myself for baptism.
If registering a child, provide name of Parent and/or Legal Guardian
I will wear clothing which can get wet
*
I will bring my own towel and change of clothes
*
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