Water Baptism Form September 15, 2024
September 15, 2024 @10:00AM | Please fill out this form and click submit.
Name
*
T-Shirt Size
*
Please select all that apply.
Youth - Large
Adult - Small
Adult - Medium
Adult - Large
Adult - X-Large
Adult - 2XL
Adult - 3XL
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Cell Phone
*
Email
*
This address will receive a confirmation email
Birthdate
*
I Have accepted Jesus Christ as my Lord and personal savior through the repenting of my sins.
*
Please select all that apply.
Yes
No
If the box above is yes, then when?
*
Why do you wish to Get Baptized? (Mark One)
*
Please select one option.
See the tub where I will be dunked.
Want to show the world what God has done in my life.
I like water.
Like to swim in the Baptismal
Testimony: ( Please explain, in 3-5 Sentences, what your life was like before Jesus. How has God changed your life? How has it changed you?) * Your testimony will be read at the baptism service:
*
Submit
Description
September 15, 2024 @10:00AM
Please fill out this form and click submit.
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