Baptism Application

BAPTISM SERVICE APPLICATION

Fill out the application and Pastor Chad Herndon will get in touch with you as soon as he can.

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

I wish to be baptized at New Song’s next Baptism Service *

Desired mode of baptism *

Work Phone *

Submit