Baptism Registration Form • Connexus Church

* All information collected is used in accordance with our Privacy Policy.

First Name *

Last Name *

Email Address *

Mobile Number

Which Campus do you attend? *

Barrie

Orillia

Midland

Online Only

Tip: Please choose one. If you are not sure, you can select 'online'.

If you selected the online campus, are you within driving distance of Barrie, Orillia, or Midland? *

Date of Birth (If under 18)

Have you decided to follow Jesus? *

Please share a few details about your answer above:

Please indicate your t-shirt size (adult unisex sizes): *

Is there anything else you'd like us to know?