Pentecost Baptism

pentecost baptisms

MAY 23 & 24, 2026

If you would like to be baptized today, please take a few minutes to complete the form below.

Full Name

Phone Number

Home Address (please only enter once if registering as a family)

Declaration of Age:

I am 18 or older I am under 18

If under 18, please enter the name(s) of your parent(s):

By signing below, I hereby grant Southview Church an absolute and irrevocable right and permission, in respect of any photographs, motion pictures, recording, or any other media whatsoever which are taken by an approved Southview Church person or staff to use, re-use, publish, and re-publish the images in whole or in part, individually or in conjunction with other images, and in conjunction with any printed or electronic media now or hereafter, and for any legitimate purpose whatsoever. I waive any right to inspect or approve the images or any finished product. I waive and release any right or claim I have to receive compensation or reimbursement in regard to any of the foregoing. This consent, agreement, waiver, and release applies regardless of whether I was involved in the creation or production of any such images or finished product and regardless of whether any such right or interest arises by virtue of statute or otherwise.

Signature