LWC Baptism Application
We are so honored that you have decided to be water baptized at Living Word Church. Please fill out the following form so that we can make your experience as easy and memorable as possible.

NOTE: Baptisms will now be on the 4th Sunday of the month. We will contact to let you know when it's your month to be baptized.

Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Gender *
Age *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Have you accepted the Lord Jesus Christ as the Lord of your life? *
Please tell us what it means to accept Jesus as Savior. *
Your answer
Do you know and understand what it means to be water baptized? *
How long have you attended LWC? *
Your answer
Would you like counseling for a specific area of your life? *
Have you signed a membership form? (You do not have to be a current member of LWC to be water baptized, but we strongly encourage you to be in the process of completing our membership process.)
T-Shirt Size *
Would you like a Certificate of Baptism *
Would you like to be baptized with a family member? *
Family member's name?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Living Word Church. Report Abuse - Terms of Service