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OUR LOCATION

4777 Lakeland Highlands Road
Lakeland, FL 33813

Phone: 863.647.3518
Fax: 863. 646.7738

 

OFFICE HOURS

Monday - Thursday
8:00 AM to 5:00 PM
Fridays
8:00 AM to 12:00 PM
Closed on Holidays

Teen Baptism Interest

Thank you for your interest in baptism for your teenager. Please take a moment to fill out this form. We will contact you soon with details about the upcoming baptism for your teenager. If you need to get in touch with us sooner, please contact Pastor Colton or Breanna Mills at (863) 647-3518.

Name *
Name
Date of Birth *
Date of Birth
If Summer, please enter the grade teen will enter in the Fall.
Parents, have your teen fill this out, please!
Parents: Please have teenager give testimony of how or when he/she accepted Christ
Address *
Address
Phone *
Phone