Interest Form Entry

Kids Online Baptism Class

Thank you for your interest in our Kids Online Baptism class! Please fill out the following form and we'll contact you with more information and the next steps.

(NOTE: If you are registering more than one child, you will need to fill out this form for each child.)

CHILD'S INFORMATION

First Name

Last Name

Campus

Birthdate

Gender

Grade

1st 2nd 3rd 4th 5th

PARENT'S INFORMATION

First Name

Last Name

Mobile Phone

Address

Submit