Baptism Request Form

Please complete all information requested. This information is important to us in communicating with you as we prepare for your baptism. Please check your email often as this is how we will often correspond. 


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Check All That Apply: *
Required
Full Name *
Gender *
Date of Birth *
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/
DD
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Age *
Email *
Phone *
Address:  *
State briefly why you want to be baptized? *
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