I would like to be immersed/baptized!

Please fill out the form below, click submit when you’re finished, and someone will get back to you.

Name

First Name

Last Name

Email

Date of Birth

MM

DD

YYYY

When did you start attending The Hill?

What has led you to the decision to be immersed/baptized?

Whom would you like to immerse/baptize you?

When would you like to be immersed/baptized?

MM

DD

YYYY