Baptism Class

May 19 at 11:30am | Please fill out the form using the interested person's information. If you are registering a child under 18, please make sure to include the parent/guardian information as well.

Person Interested in Baptism

Name

*

Email

*

This address will receive a confirmation email

Address

*

Phone

*

Birthdate

*

Grade

Please select all that apply.

Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

Parent/Guardian Information (if applicable)

Parent/Guardian Name

Parent/Guardian Relationship

Please select all that apply.

Mother Father Grandmother Grandfather Aunt Uncle Other

Parent/Guardian Email

Parent/Guardian Phone

Description

May 19 at 11:30am

Please fill out the form using the interested person's information. If you are registering a child under 18, please make sure to include the parent/guardian information as well.

Please Fix the Following

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