Your Name (required)

Your Email (required)

Phone

Phone Type
MobileHomeWork

What is your birthday?

Gender?

What service would you prefer to be baptized in?

May UBC share photos/video taken of your baptism on our website and/or social media?

UBC provides our baptismal candidates with a t-shirt.
What size t-shirt may we give you?

Is there someone specific you would like to baptize you?

Register Now!

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