Quay Nights Baptism Interest Form

Phone Number *

Birthday *

When would you prefer to be baptized? *

On a Thursday at Quay Nights - February 5th

On a Thursday at Quay Nights - April 16th

Have you accepted Jesus Christ as your personal Savior? *

Yes

No

I'm not sure

Are you a member of Quay Church? *

Yes

No

If you are not a member, how long have you been a regular attender of Quay Church?

Tell us a little bit about why you want to be baptized. *

I give permission for Quay Church to share my story during my baptism and, if needed, afterward on the Quay Church website, social media, or in print.

What is your t-shirt size? (Youth M, Youth L, S, M, L, XL, 2XL, 3XL) *

Any questions or other details you'd like to provide?