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Register to be Water Baptized
First Name
Last Name
Please fill our the name portion the way you would like it to appear on your baptism certificate!
Phone Number
Email
What age group do you fall in?
Please choose one..
Elementary
Middle School
High School
Ages 18+
We'd love to gift you a tshirt! What size would you prefer?
Small
Medium
Large
XL
2XL
3XL
Which Baptism date works best for you?
March 5
April 2
May 7
June 4
July 2
August 6
September 3
October 1
November 5
December 3
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