Baptism Request Form - Glory Hills

Phone number

I am over 18 years old (the Baptism Candidate) *

Yes

No

Gender *

Male

Female

Have you asked Jesus to be your Lord and Saviour? *

Yes

No

When did you make that decision? *

I attend Saints Glory Hills as my primary Location

Yes

No

What is your preferred t-shirt size? (Adult Sizes) *

Please select one of the following options:

X-Small

Small

Medium

Large

X-Large

XX-Large

Please provide your full name as you would like it printed on your Baptism Certificate *