BAPTISM | PLUNGE PARTY REGISTRATION

IMG_2435.jpg
Name of individual registering (Please include middle name) *
Name of individual registering (Please include middle name)
DOB *
DOB
Is this registration for a child under the age of 18? *
Phone *
Phone
Have you accepted Jesus Christ as your Lord and Savior? *
Will you need childcare for Understanding Baptism class? (Childcare available by registration for ages 10 and under.) *
Yes! Sign me up for the latest NPWC e-news!