Request edit access
Baptism Application
Providence Baptist Church
Event Address: 3501Providence Road, Hayes, VA 23072
Contact us at (804) 642-5812 or pbcoffice@pbc.hrcoxmail.com
Email address *
Name *
Your answer
Email *
Your answer
Confirm Email *
Your answer
Primary Phone Number *
Your answer
Alternate Phone Number
Your answer
Address *
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender *
Your answer
Please briefly state how and when you placed your faith in Christ as Savior and began follow Him with your life. *
Your answer
Do you believe you are going to heaven? Why do you believe that? *
Your answer
Why do you want to get baptized? Have you been baptized before? *
Your answer
Baptism is a public declaration symbolizing death to our old way of life and an entering into the new life we have in Christ. Though not perfect, does your life today reflect the change Christ has made in you? *
Your answer
Would you consider Providence Baptist your church home? *
T-shirt Size *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms