Baptism Application

Your name *

Last name

Email address *

Phone number

Phone type

MobileHomeWorkOther

Address

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Tell us your story by answering the following questions

1) What was your life like before you met Jesus? *

2) What was your experience when you turned around (repented) and accepted Jesus' forgiveness and leadership? *

3) What role does Jesus play in your life now? *

4) Why did Jesus die on the cross? *

5) Why do you want to get baptized? *

Choose one *

Select…I'd like to talk to someone about salvation before scheduling my baptism.I'm ready to participate in the next Baptism.

Is there any physical limitations or concerns regarding your baptism that we should be aware of?

Which service would you like to be baptized during? *

Select…9:00AM10:45AM

What is your T-shirt size? Please be specific. *

Who will be baptizing you? (If you don't have someone specific in mind, one of our staff will be more than happy to)

Submit

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