Baptism Application
Water Baptism is on April 23rd. Deadline is April 2nd
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Is the person being baptized under 18?

     
 
Full Name: *

It will appear this way on your certificate
 
Phone *

 
Address

Street, City, Zip Code
 
Shirt Size?


 
Pants Size?


 
Have you received Jesus Christ as your Lord and Savior?

     
 
If so, When?

 
How long have you been attending this church?

 
Are you prepared to make a commitment to follow the Lord in Water Baptism?

     
 
Under 18:

 
Name: *

Full name
 
Address

Street, City, Zip Code
 
Age *

 
Grade

 
Shirt Size?


 
Pants Size?


 
Has your child received Jesus Christ as their Lord and Savior?

     
 
Parent/Guardian's Name

 
Parent/Guardian's Contact # *

 
Please tell us if you have any special needs or concerns:

Congratulations on making the decision to dedicate yourself through Water Baptism!
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