Water Baptism Registration

Water Baptism

February 23
What Does Water Baptism Represent?

Baptism Registration

* Indicates required field

First and Last Name *

First

Last

Choose Any *

Adult Jr High (grades 6-8) High School (9-12) Child (K-5 grade)

Email *

Include age if UNDER 18 *

Phone Number *

Do you currently attend Northridge Church? *

Yes No On Occassion

Provide Full Address including city, state, zip *

Line 1

Line 2

City

State

Zip Code

Country

Comment or Special Requests *

Please include your T-Shirt Size *

I am aware that photos may be taken of me during this event and may be posted on Northridge or EDGE Northridge website and/or Facebook Page. Please contact the church office with any questions.

Agree to Photo Terms *

I Consent

Submit