Baptism Form
Completing this form means that you are interested in receiving more information about water baptism and would like to become a candidate to be baptized.  Please complete all information to the best of your ability so that we know how to best serve you.  

We are excited that you are interested in making a public declaration of how Jesus changed your life, whether this is your first time being baptized or you have already been baptized and are sharing with others that you are still committed to following Christ.  
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Email *
Are you completing this form for yourself or a minor (under 18 years of age)?  Check all that apply. *
Required
First Name of Person Completing Form *
Last Name of Person Completing Form *
Your Phone Number *
Your Email Address *
Street Address 1 *
Street Address 2
Apartment #
City *
State *
Zip Code *
First and Last Name 
Age of Candidate 1

 *
First and Last Name 
Age of Candidate 2

First and Last Name 
Age of Candidate 3

First and Last Name 
Age of Candidate 4

First and Last Name 
Age of Candidate 5

Is each candidate a member of BCWC? *
Required
If not a member of BCWC, are you a member of any Church? *
What church are you and other candidates a member of? *
Please provide any additional helpful information regarding church membership *
Do you give BCWC permission to contact you? *
A copy of your responses will be emailed to the address you provided.
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