Name *

First Name

Last Name

Phone

(###)

###

####

Follow Up *

Would you like someone from our pastoral care team to contact you?

Yes

No

Ministry or Baptism

I'd like to learn more about Jesus and/or the Christian faith

I'm interested in learning more about connecting with Pakenham Lakeside Church

I'm interested in baptism for myself or my children

I'd like to talk with the pastor about a personal matter or for prayer