EmailMe Form - Easter 2021 New Believer Celebration

Name: *

First Last

Gender:

Male

Female

Birth Date: *

MM / DD / YYYY

Phone: *

### - ### - ####

Email: *

Address:

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

Which Celebration will you be joining?

In Person Breakfast

Virtual (Zoom) Celebration

Name of Guest / Parent:

First Last

If you are attending the IN PERSON breakfast, please provide us the name of your guest (if any)

Are you interested in Water Baptism? *

Yes

Need more information

Other

As a new follower of Jesus, you will have the opportunity to be baptized after the celebration breakfast. Let us know if you are interested in considering this at this time so we can send you instructions.