Adult Baptism Sign-up
Congratulations on taking this next step of obedience to Jesus! The Grace staff is cheering you on! NOTE: If your child (12 and under) wishes to be baptized, please fill out the Child Baptism form instead. If they are 13 and older, they can fill out this same form.

Please write your name as you'd like it to appear on your baptism certificate.
Full Name *
Your answer
Male/Female *
Birthdate *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Street Address *
Your answer
City and State *
Your answer
Zipcode *
Your answer
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