Baptism Application
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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? *


 
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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