Baptism Interest Form
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Birthday
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Parents' Names (if applicable)
Parents' Email (if applicable)
Parents' Phone (if applicable)
For the person wanting to be baptized, please select the age group you would fall under
*
Please select all that apply.
Child
Teenager
College Student
Young Adult
Adult
When did you make the decision to believe and trust in Jesus?
*
Would this be your first time baptized? If not, when were you baptized before?
*
Do you have a preferred date on when you would like to be baptized?
*
Do you have any questions or comments?
*
Submit
Description
Please fill out this form and click submit.
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