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Take the Plunge
Please fill out this form if you would like to be baptized at FWC and a staff member will be in contact with you.
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* Indicates required question
Name
*
Your answer
Age
*
Your answer
Parent's Name (if under 18)
Your answer
Male
Female
DOB
MM
/
DD
/
YYYY
Email
*
Your answer
Address
*
Your answer
Phone Number
*
Your answer
Date of Salvation
*
Your answer
Is this your first baptism?
*
Yes
No
Brief testimony about your relationship with Christ
Your answer
Special needs
Your answer
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