Baptism Registration - Household of David | MERCY

Baptism Registration - Household of David

This form is to collect your registration details for the upcoming Baptism.

Please complete this form and join the WhatsApp group using the link: https://chat.whatsapp.com/DNAxStIKvHhBIkFqqxFlKa

For any assistance, you can call Bro Oreofe on 08171903746

Thank you.

Name *

First

Last

Email *

Phone (WhatsApp Phone Number) *

Gender *

Male
Female

Location (e.g Ogba, Ikeja etc) *

Age *

Below 15
15 - 18
18 and Above

Have you confessed Jesus as your Lord and saviour? *

Yes
No

Have you completed Membership class? *

Yes
No

Parent/Guardian's name *

First

Last

Parent/Guardian's Membership Card Number *

Please upload passport photo

Click or drag a file to this area to upload.