Baptism

Baptism Request Form

* Indicates required field

Name *

First

Last

Email *

Address *

Line 1

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City

State

Zip Code

Country

Phone Number *

Parents name (if a minor) *

Follow the steps to Salvation: *

Accept (Do you accept and acknowledge that Jesus died on the cross for your sins?) Matthew 28:19-20 Believe (Do you believe that Jesus died on the cross for your sins and you shall be saved)? John 3:16; Romans 6:23 Confess (Do you confess that Jesus died on the cross for your sins)? Romans 10:9-10

Date of Birth *

City of Birth *

Submit

​Baptism

3 Day Class

Baptism Request Form

Baptism