Baptism Registration
"Get up, be baptized and wash your sins away, calling on his name." --Acts 22:16
Baptism is an opportunity for you to make a public declaration of your faith in Jesus Christ. We are excited to share in this life-changing experience with you!
Please fill out for each person getting baptized; one form per person.
First Name:
Last Name:
Email:
Phone Number:
Date of Birth
Note: Must be at least 5 years or older to be baptized.
What grade are you in?
Please select...
Adult (not a minor)
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
For 18yrs or older simply select "Adult"
Have you taken the Rock Kids Baptism Class?
Yes
No
Parent/Guardian First Name
Parent/Guardian Last Name
Campus
**
Please select...
City Heights
El Cajon
Point Loma
San Marcos
Chula Vista
Oahu
**
Choose the campus team/location that you will be getting baptized with. **Note: if you are with Church Anywhere or do not have a campus that you attend yet, please choose the location that is closest to you.
Please select the baptism opportunity date for your campus
What is your T-Shirt size?
Please select...
X-Small
Small
Medium
Large
X-Large
XX-Large
XXX-Large
T-shirts are adult sizes and unisex
How would you like your name printed on your Baptism Certificate?
Share your testimony
What has God done in your life and why do you feel led to get baptized?
x
Archived Fields (Hidden)
How would you like your Certificate sent to you?
email
physically mailed
Note: If you are with San Marcos campus, please select to have your certificate physically mailed to you.
Mailing Address
Street Address (include Unit or Apt info)
City
State
Zip Code
HIDDEN Fields Section (leave this section hidden to hide all of these fields)
Underage
Age Limit
Are you in Elementary School? (1st-5th grade)?
Yes
BDay
Event
This field is mapped and used in the "Choices" section of the lookup field when they choose the date.
Campaign
This field is mapped and used in the "Choices" section of the lookup field when they choose the date.
Description for Specific Rock Event
Not active yet, used when Rock Event needs to include confirmation information from SF. Map this field in the "Choices" section of the date
CAMPUSNAME
used in the event "Choices" section to filter what populates when they click the date field.
Confirmation email recipient
Email Campus Notification
Oahu Notification
Chula Vista Notification
San Marcos Notification
East County Notification
City Heights
Point Loma Notification
Source
Record Type ID (Production)
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Contact Information