Baptism Application
The next Water Baptism will be April 22
Is the person being baptized under 18?

Full Name: *

It will appear this way on your certificate
Phone *


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

Street, City, Zip Code
Age *


Shirt 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!