Baptism Application
* We at Channel take your privacy seriously. We will never share your information to others or third party advertisers.
* Required
First Name
*
Your answer
Last Name
*
Your answer
Facebook
Your answer
Email
*
Your answer
Phone
*
Your answer
I am a born again Christian
*
Yes
Not yet, but I am ready to accept Jesus as my personal Savior
No, I am not ready to accept Jesus as my personal Savior
How long have you been a Christian?
Your answer
How long have you been with Channel Church?
Your answer
I want to be baptized because
*
Your answer
I have received baptism
*
Not yet baptized
Baptized by sprinkling
Baptized by immersion
Date of baptism
MM
/
DD
/
YYYY
Officiating church
Your answer
Former church membership
Your answer
Channel Church |
channelchurch.org
|
info@channelchurch.org
| 510.224.5546
Submit
Never submit passwords through Google Forms.
This form was created inside of Channel.
Report Abuse
Forms
