Daystar Church - Leduc, CA

Baptism Registration Form

If you'd like to get baptized at Daystar, fill out this form and we will be in touch!

First Name

Last Name

Email

Phone Number

Age

Is the person being baptized under 18 years old?

Yes

No

Guardian First Name

Guardian Last Name

Guardian Phone Number

Guardian Email

Have you take the Baptism Class at Daystar (wk2 of Start Here classes)?

Yes

No

Tell us your story.

Anything else you would like to share?