Baptism Registration

We are glad you have taken the first step toward getting baptised.

Fist Name *

Last Name *

Date of Birth

e.g. 01 01 2017

Phone Number *

Email Address *

Street Address *

Suburb *

State *

Postcode *

When did you become born again? *

Enter as 01 01 2017

What was your previous church affiliation? *

How long have you been attending The Light Pavilion? *

How you became born again? *

Please give a brief explanation of your conversion/ salvation experience.

Declaration *

Agree

I hereby declare that:

1. All information provided above are true and correct to the best of my knowledge.

2. I am willing to be member of the church and abide the rules, regulations and doctrines of the church in accordance with the Bible.

3. I am willing to be immersed in water for baptism by the church.

SUBMIT Reset