Baptism Info Form - Broadway Christian Church

Name*

First Last

Phone*

Email*

Address

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

Birthdate*

Date you would like to be baptized*

Do you agree to allow photos/video of your baptism to be made public on our church website and social media platforms?*

*Baptisms at the 9am and 11am services will be live-streamed to the public and archived on our site.

Signature*

Which service would you like to be baptized at?*

T-shirt size

What size shorts do you wear?

These are black athletic shorts with a drawstring.