Name *
Date of Birth *
Date of Birth
Are you under the age of 18? *
If yes, you will need to meet with one of our Children's Pastors (ages 8-12) or Youth Pastor (ages 12-17) prior to being officially registered. Our Discipleship Team will contact you regarding this.
Phone *
Mailing Address *
Mailing Address
Name of Person You'd Like to Baptize You
Name of Person You'd Like to Baptize You
We feel it's important that you have someone baptize you who has had a spiritual influence in your life. If there is someone specific you would like to baptize you, please provide their info below; or you can type NA for not applicable, in which case, one of our Campus Pastors will baptize you.
Phone Number
Phone Number