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Lifepoint Church Baptism Registration
Congratulations on taking that next step in your walk with Christ. Our next baptisms will be held at Lifepoint Home on October 8th at church. Please fill out this form to register.
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Email
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Your email
Full Name:
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Your answer
Address:
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Your answer
Select all that apply:
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Male
Female
Married
Single
Student
Child
Required
Home/Cell Phone Number:
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Your answer
Date of Birth:
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Your answer
Have you made a commitment to accept Jesus as your personal Savior?
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Yes
No
Briefly describe your salvation experience: When, where, etc.
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Your answer
Is there a particular pastor that you would like to baptize you?
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Yes
No preference
Required
If Yes, which pastor would you like to baptize you?
Your answer
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