Baptism Form

Your name *

Email address *

Form completed date *

Name of person to be baptized *

Please enter name as you would like it to appear on the baptism certificate.

When would you like to be baptized? *

Your preferred date will be confirmed by a pastor.

Preference of pastor for baptism: *

Please put the name and email address of someone special to you. *

This person will pray a special prayer of dedication over you before your baptism.

Shirt Size *

We provide baptism t-shirts. Please indicate your shirt size below.

Would you like to pursue church membership? *

*Only applies to adults 18 years or older. You will be contacted by a pastor or elder to discuss membership.

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