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Baptism Request Form
"Jesus came from Galilee and was baptized by John in the Jordan" Mark 1:9 NIV.
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Your First and Last Names *
Email Address *
Phone Number *
Address (street address, city, state, ZIP) *
Gender *
Marital Status *
Is your spouse a Seventh-day Adventist?
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Date of Birth *
If you are between 5 and 18 years of age, please provide the full name(s) of your parent(s).
Are either of your parents Seventh-day Adventists?
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Please list your favorite text. *
Why are you choosing to be baptized? *
Is there anything else we should know as we plan for your baptism?
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