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Baptism Request
Complete the form below if you are interested in being baptized.
Parents, if your child needs help, you may type as they dictate their answers.
A staff member will then contact you to provide more information.
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* Indicates required question
Name:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Contact number:
*
Your answer
Email:
*
Your answer
When did you give your life to Christ?
*
Your answer
What does it mean to accept Christ as your savior?
*
Your answer
What does being baptized mean to you?
*
Your answer
Why do you want to be baptized at this time?
*
Your answer
Who would you like to baptize you?
*
Your answer
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