Baptism Registration Form (Our Members)

First and Last Name

Address

City

Zip Code

Birth Date

Contact Number

Secondary Number

Email

Do you believe you're going to heaven? Why do you believe that?

Please state briefly how and when you accepted Christ as your Savior:

Why do you want to get baptized? Have you been baptized before (since becoming a Christian)?

Baptism is a public profession and symbolizes a death to our old life and our receiving a new life through Christ. Although everyone getting baptized is a sinner, life in Christ should be seen in our daily life. Is your lifestyle reflective of your life in Christ?

Yes
No
I would like to speak to someone

Please Select One:

I am ready to schedule my baptism. (We will email you with available dates.)
I need to speak with someone before I am ready to schedule my baptism.

Baptism Registration Form
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