Baptism Registration

First name

Last name

Age

Phone

Email

Address

Service Time

Next Baptism Weekend

Other

I would like to be baptized by

Have you put your faith, hope, and trust in Jesus?

Yes

No

Unsure

Is it your desire and intention to make Jesus the center of your life by living according to His will?

Yes

No

Unsure

Please share with us a bit of your story and what led you to wanting to get baptized now. Please let us know if there are any pieces of your story you are not comfortable with us sharing as we celebrate baptisms with the rest of the church family.