Baptism - Expression of Interest

Your Name*

First Last

Your Email Address*

Email Address Confirm Email Address

This is the email address of the person filling in this form

Who is being baptized?*

Is this expression of interest for you or your child?

Child's Name*

First Last

Child's Age*

How long have you been a Christian*

How long has your child been a Christian*

Tell us about how you became a Christian*

Tell us about how your child became a Christian*

Commitment to Christ and to His Church are vital prerequisites to baptism

I am committed to Southland Church as my spiritual home*

Southland Church uses the information on this form to allow us to reply to your query. Please read our Privacy Policy and Terms & Conditions of use.

I understand and accept Southland Church's Privacy Policy and Terms & Conditions*

Phone

This field is for validation purposes and should be left unchanged.