Request edit access
Baptism Request Form
"Jesus came from Galilee and was baptized by John in the Jordan" Mark 1:9 NIV.
Sign in to Google to save your progress. Learn more
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?
Clear selection
Date of Birth *
MM
/
DD
/
YYYY
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?
Clear selection
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?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Ephesus Seventh-day Adventist Church. Report Abuse