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Baptism Registration
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Work Entry
Added: 11/7/2025
Baptism Registration
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Birth Date
Birth Date is required.
Marital Status
Married
Single
Divorced
Widowed
Gender
Male
Female
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Is the person getting baptized in 5th grade or younger?
Yes
No
Is the person getting baptized in 5th grade or younger? is required.
Which baptism class would you like to attend?
I've already attended a class.
Adults/Students - 10/05/25 12pm
I cannot make any of the scheduled times.
Which baptism class would you like to attend? is required.
Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult XXL
Adult XXXL
Shirt Size is required.
How you want your name to appear on your certificate?
Baptism Certificate Name is required.
Baptism Service
11/16/2025 9am
11/16/2025 10:45am
Baptism Service is required.
Tell us about your life before Jesus. How did He come into your life and how has your life changed?
Tell us about your life before Jesus. How did He come into your life and how has your life changed? is required.
Anything else you want to tell us?
Submit