BAPTISM SIGNUP

First Name:   Last Name:  Email: 

Address:  City:  State: Zip: 

Birthday Date (MM/DD/YY):  Phone: 

 Briefly Describe how you accepted Christ as your Savior:



Why do you want to be Baptized now? (have you ever been baptized before)

I am ready to be Baptized( We will contact you with available dates)
I need to speak with someone before I will be ready to schedule my Baptism



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