Believer Baptism
Dates *
Date of Baptism
Service *
During which service would you like to be baptized?
Full Name *
Please include middle name.
Date of Birth *
Parents' Names
If person being baptized is under 18.
What's your phone number? *
What's your email address? *
After having read the material on the website, do you have any questions? Explain them here. *
How would you describe your relationship with Jesus and what he's done for you? *
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