Water Baptism Form

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Water Baptism Form

Go therefore and make disciples of all the nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, teaching them to observe all things that I have commanded you; and lo, I am with you always, even to the end of the age.” —Matthew 28:19-20

We will contact you when the next baptism date is scheduled. Please look over all of the requirements to ensure you are ready for your baptism day!

Please contact Pastor Quintin at Quintin.jones@alcky.com if you have any additional questions.

Email *

Full Name *

Share your testimony! Explain who you WERE before Christ and who you are NOW after Christ. This will be publicly shared on your Baptism service. *

Phone Number *

Select your Date of Birth *

YYYY

Signature of Parent/Guardian (If you are a minor)

Gender *

Female

Male

T-shirt size *

1st time being baptized? *

Yes

Required

Do you have any health concerns, fear of water or any other problems that we should know about?

Do you want to receive a paper Baptism certificate? *

Yes

Please print below how you would like your name on the certificate *

A copy of your responses will be emailed to the address you provided.

Submit

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