Follow the example led by Christ. Demonstrate and proclaim your faith by participating in Believers Baptism!
* Name (First, Last):
* Street Address, State, Zip:
* Phone:
* Email Address:
* Age Group:Select OneAdultGrade 9-12Grade 6-8Grade 1-5
* What Date for Baptism?Select OneOctober 10, 2010
Security Code: