BAPTISM SIGNUP


FIRST NAME:    LAST NAME:    EMAIL: 

ADDRESS:    CITY:    STATE:    ZIP: 

BIRTH DATE (MM/DD/YY):    HOME PHONE:    CELL PHONE: 

BRIEFLY DESCRIBE HOW AND WHEN YOU ACCEPTED CHRIST AS YOUR SAVIOR:


WHY DO YOU WANT TO BE BAPTIZED? HAVE YOU BEEN BAPTIZED BEFORE (SINCE YOU BECAME A CHRISTIAN)?


T-shirt Size: 


PLEASE CHECK ONE:
I AM READY TO BE BAPTIZED (WE WILL CONTACT YOU VIA EMAIL WITH AVAILABLE DATES).
I NEED TO SPEAK WITH SOMEONE BEFORE I WILL BE READY TO SCHEDULE MY BAPTISM.