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Baptism Signup
Name of Person Being Baptized
First Name
Last Name
Email
Address
Apartment, suite, etc.
City
State
Zip/Postal Code
Phone Number
Other Information
Parental / Guardian Consent
If the person being baptized is a minor I certify that I am the parent / legal guardian. (Please enter parent / guardian name.)
Age of Minor
Enter N/A if this does not apply. If the person being baptized is a minor please enter the age of minor. For baptizing here, the child must be at least age seven (7).
Service you will be attending.
Saturday Night Service@ 6 pm
Sunday AM Service @ 9 am
Sunday AM Service @ 10:45 am
Which Pastor would you like to baptize you?
Pastor Paul Aragon
Pastor Michael Watkins
Pastor Chris Simms
Pastor Melanie Aragon
Rhiannon Diller
Diana Simmons
Miriam Muma
Other? Please specify...
Name of Other Individual
Tell us your story.
Anything else you would like to share?
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