Baptism Registration – Contemporary Church

Name*

First Last

Gender*

Date of Birth*

Phone*

Shirt Size*

(Adult sizes only - If a child is being registered, you can select small for them)

Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

I have committed my life to Jesus Christ, and I trust Him for my salvation.*

For Ages 7-17

Parent/legal guardian is required

Parent's Name

First Last

Parent's Phone

Let us know any friends or family that you would like to receive an official invite on your behalf to your Baptism on September 1!

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone