Baptism Application
* We at Channel take your privacy seriously. We will never share your information to others or third party advertisers.
First Name *
Your answer
Last Name *
Your answer
Facebook
Your answer
Email *
Your answer
Phone *
Your answer
I am a born again Christian *
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 *
Date of baptism
MM
/
DD
/
YYYY
Officiating church
Your answer
Former church membership
Your answer
Channel Church | www.channelchurch.org | info@channelchurch.org | 510.224.5546
Submit
Never submit passwords through Google Forms.
This form was created inside of Channel Church. Report Abuse - Terms of Service