Water Baptism Application

10:00am Sunday Service | Please fill out this form and click submit. If you are under 18 years old you must fill out the fields for Guardian information.

Name

*

Date of Birth

*

Phone

*

Address

*

If you are under the age of 18, please add the Parent/Guardian name and contact information.

Parent/Guardian's First Name

Parent/Guardian's Last Name

Relationship

Please select one option.

Mother Father Guardian

Parent/Guardian's Phone

Personal Information

Are you born again?

*

Please select all that apply.

Yes No I am not sure

Date of salvation.

Tell us about your born-again experience.

Baptism is an outward expression of an inward change.

Are you ready to take this next step?

*

Please select all that apply.

Yes No

Will you give the Pastoral Staff of this church the honor of a personal meeting if called upon to do so?

*

Please select all that apply.

Yes No

By clicking 'Submit', you are digitally signing this application, confirming that all information is correct.

Description

10:00am Sunday Service

Please fill out this form and click submit. If you are under 18 years old you must fill out the fields for Guardian information.

Please Fix the Following

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