Beacon Light International Baptist Cathedral Baptism Request Form
We are so excited about your decision to Get BAPTIZED! We believe that it is an outward statement of an inward change, and we are dedicated to walking with you on your journey toward change.

Please complete the following form to register for Baptism.
Sign in to Google to save your progress. Learn more
Email *
Title *
First Name *
Last Name *
Gender *
Age *
Date of Birth *
MM
/
DD
/
YYYY
Contact Number *
Parent/ Guardian's Name (if under 18)
Dress Size Category (Females ONLY) *
If you are a female, please select your dress size category. If you are a male, please select 'N/A.'
Dress Size (Females ONLY) *
If you are a female, please provide your dress size. If you are a male, please type 'N/A.'
T-Shirt Size Category (Males ONLY) *
If you are a male, please select your T-Shirt size category. If you are a female, please select 'N/A.'
T-Shirt Size (Males ONLY) *
If you are a male, please select your T-shirt size. If you are a female, please select 'N/A.'
Pants Size Category (Males ONLY) *
If you are a male, please select your pants size category. If you are a female, please select 'N/A.'
Pants Size (Males ONLY) *
If you are a male, please provide your pants size. If you are a female, please type 'N/A.'
Do you need us to provide you with a white T-Shirt? (Males ONLY)
*
Males are required to wear a white T-Shirt during Baptism. If you are a male, please indicate whether or not you will need us to provide you with a white T-Shirt. If you are a female, please select 'N/A.'
Do you need us to provide you with white pants? (Males ONLY) *
Males are required to wear white pants during Baptism. If you are a male, please indicate whether or not you will need us to provide you with white pants. If you are a female, please select 'N/A.'
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Beacon Light. Report Abuse