Baptism Request

We can't wait to meet you!

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Communication Preference *

Select one or more preferences. 

Text

Phone Call

Email

Address

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Birthdate *

In your own words, what is the purpose of baptism? *

Tell us a little bit about your life before accepting Christ and surrendering your life to Him. *

How has Christ changed your life? *

Please indicate your readiness to be baptized. *

Select…I am ready to schedule my baptism.I need to speak with someone before I am ready to schedule my baptism. Please contact me.

Submit

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