Water Baptism Class Registration

Baptism Class Registration

Please sign me up for the water baptism class scheduled for

 

 
 

First Name

  Last Name   Birthdate
Person 1:      
Person 2:    
If person being baptized is a child, please list parent's or guardian's name(s) below
Parent(s):    
Phone:    
E-mail:   

 

Submit your registration
Please be sure that all fields are filled in completely before clicking on the submit button below.  After you click the Submit button, you will be taken to a confirmation page that will confirm your registration.