Baptism Request Form

Name

This address will receive a confirmation email

Phone

Address

Best Time to Call

I have repented of my sins and placed my faith in Jesus Christ as Lord and Savior

Yes No Need More Information

I have been baptized previously

Yes No

Questions or Comments

Description

BAPTISM REQUEST
Please fill out this form to let us know that you are interested in being baptized as a believer in Jesus Christ. After submitting the form someone from the church will follow-up with you.

Baptism Request Form

Description

Please Fix the Following