Baptism

Please feel free to contact our Administrative Office at (919) 774-9462 or e-mail questions to info@christianprovision.com.

    Month & Year of Baptism:

    Full Name:

    Gender:

    MaleFemale

    Phone#:

    Email:

    T-Shirt Size:

    SmallMediumLargeXL2XL3XL

    Parent(s) of Candidate (if under 18 years old):

    Parent(s) Phone#:

    Christian Provision Ministries | Changing Lives & Building Communities