Baptism Date: Saturday, April 20th, 2019 | Time: 10:00 AM

Please wear dark colored clothes (i.e. non see-through when wet), bring a towel, and a change of clothes.

Name *
Name
Address
Address
Phone *
Phone
Date of Birth
Date of Birth
Are you a member of Designer’s Way Christian Church? *
Have you completed CORE Track at Designer’s Way? *
Have you ever been baptized? *