Baptism Information Request
Please fill out the form below and someone will connect with you to answer any questions you may have and to schedule your baptism.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Campus
*
Raytown
Lee's Summit
Age
*
Child
Teen (13-18)
Adult (19 & up)
Date I'd like to be baptized:
Sunday, June 9 - Lee's Summit Campus
Sunday, June 16 - Raytown Campus
Sunday, July 21
Sunday, August 18
Sunday, September 15
Sunday, October 20
Sunday, November 17
Do you have any questions?
Submit
Should be Empty: