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Baptism Registration
Demographic Info
Applicant First Name
Applicant First Name is required.
Applicant Last Name
Applicant Last Name is required.
Email
Email address is not valid
Mobile Phone
Birthdate
Birthdate is required.
Gender
Male
Female
Gender is required.
Address
AL
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AZ
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CA
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DC
FM
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HI
ID
IL
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ME
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MA
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MP
OH
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OR
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SC
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VA
WA
WV
WI
WY
May we send you text messages?
No
Yes
May we send you text messages? is required.
Optional Baptism Class
October 18, 2026 - Room 204
Adults & Students (6th Grade and up) | 9:00 am
Kids (5th Grade and under) | 10:45 am -
Must Attend with a parent/guardian
Baptism Class Selection
Yes - Adults & Students Class 10/18/2026 9:00 AM (6th Grade and up)
Yes - Kids Class 10/18/2026 10:45 AM (5th Grade and under. Must attend with parent/guardian)
No - I am unable to attend
Baptism Class Selection is required.
How many additional people will be attending the class with the registrant?
Faith Journey
Who is Jesus to you?
Who is Jesus to you? is required.
Why do you want to get baptized?
Why do you want to get baptized? is required.
Anything else you would like to share with us?
Submit