Gippsland Baptism Registration Form • Fire Church Ministries Inc.

First Name *

Last Name *

Email Address *

Mobile Number *

Date of Birth *

Please tell us about yourself and why you want to be baptised. *

On behalf of your child, do you consent for your child to be water baptised?

Thank you for filling out this form! We will be in contact with you as soon as we can! Blessings, Awakening Church Team