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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Name: *
Date of Birth: *
MM
/
DD
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YYYY
Contact number: *
Email: *
When did you give your life to Christ? *
What does it mean to accept Christ as your savior? *
What does being baptized mean to you? *
Why do you want to be baptized at this time? *
Who would you like to baptize you? *
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