Water Baptism

The date is to be determined.

The information you enter will be sent to the church and added to the sign up book (available in the foyer). 
None of your information will be posted on-line.
 

 

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State
Zip
Home Phone
Cell Phone
E-mail

Date:

-- mm/dd/yy

Please check one of the following:

I am a church member or regular attendee I visit occasionally
I am new to First Assembly