Baptism Registration
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Birthdate (00/00/0000)
*
Gender
*
Please select one option.
Male
Female
What is your current relationship with Jesus?
*
Please select all that apply.
I trust Him for my salvation
I have more questions
I am unsure
Which describes your relationship with baptism...
*
Please select all that apply.
I have never been baptized (immersed), but desire to.
I was baptized as an infant, but desire to be immersed as a believer.
I was baptized as a younger person, but desire to be baptized now that I understand more.
Submit
Description
Please fill out this form and click submit.
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