I want to be Baptized

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

I am

*

Please select all that apply.

An Adult A Child

T-shirt Size

*

Please select one option.

Child Small Child Medium Child Large Small Medium Large XL 2XL 3 XL

I want to be baptized on

*

Please select all that apply.

September 22, 2024

I grant permission to Rise Church to use photographs or videos of me or my minor taken at the baptism service (on the date selected above) in publications, news releases, online, and in other communications related to the mission of Rise Church.

*

Please select all that apply.

Yes, you have my permission. No, you do not have permission. Option

Description

Please fill out this form and click submit.

Please Fix the Following

Close