JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
洗礼式 申込書 / Water Baptism Application
Sign in to Google
to save your progress.
Learn more
* Indicates required question
お名前 / Name
*
例:山田太郎
Your answer
カタカナ / Katakana
*
例:ヤマダ タロウ
Your answer
Alphabet/ローマ字
例:James Yamada
Your answer
生年月日 / Date of Birth
*
MM
/
DD
/
YYYY
性別 / Gender
*
男 / Male
女 / Female
ご住所 / Home Address
*
〒
Your answer
住所 / Home Address
Your answer
電話番号 / Telephone
Your answer
E-Mail Address
*
Your answer
なぜ洗礼を受けように決心されたのか、個人的な理由を簡潔にお書きください。/ What are the reasons that you would like to be baptised in Hope Church
*
Your answer
あなたが洗礼について話したパスターは誰ですか? / Which Pastor have you talked with about being Baptised in Hope Church.
*
Choose
須長克巳 / Katsumi Sunaga
森本よしや / Morimoto Yoshiya
須長慎治 / Shinji Sunaga
須長アンジェラ / Angela Sunaga
赤座純子 / Junko Akaza
洗礼セミナー Baptism Seminar
当日までに洗礼について学ぶ必要があります。/ Attendance of a baptism seminar prior to baptism is required.
セミナーの日程を担当者から連絡し、調整させて頂きます。
連絡がない場合は
application@hopechurch.jp
まで、ご連絡ください。
A pastor in charge will contact you about scheduling a seminar.
If you do not receive any contact, please contact us at
application@hopechurch.jp
.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report