Name *

First Name

Last Name

Phone

(###)

###

####

Preferred Method of Contact *

Email

Phone

How may we help you? *

Meeting with Pastor

Baptism Request

More information about Grace Baptist Church

If you are not a member of Grace Baptist Church, Have you received approval from your current Pastor?

Yes

No

What is the best time for you to meet?

Hour

Minute

Second

AM PM

Date of Birth

For Baptism Requests Only

MM

DD

YYYY