Page 33 | Trinity Assembly of God

Name (Required)

Email Address (Required)

Baptism Request Form

Applicant's Name (Required)

First Middle Last

Gender (Required)

Male

Female

Age (Required)

Birthday (Required)

Contact Info (Please complete in full)

Contact Person (if different from applicant)

Your Address (Required)

Your Phone Number (Required)

If applicant is a child, please fill out parent's information

Father

Mother

Stay up to date in the app and bulletin for information on when the baptismal service will take place

Solve 3 + 9 = ?

Trinity Assembly of God

307 White Jenkins Rd, Bessemer City, NC 28016

704-629-9339

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