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Baptism Request
Baptism / Profession of Faith Information Form
Whether you've been following Jesus for a long time or you're just getting started, we would be honored to do be part of your greatest decision.
First Name
Last Name
Email Address
Preferred Date of Baptism / Profession of Faith
Complete Legal Name (Will be used for Certificate and Records)
Parent's Name(s) (For Minors. Will be used for record keeping purposes)
Gender
Male
Female
Marital Status
Unstated
Single
Married
Widowed
Divorced
Separated
Home Address
Apt/Unit/Box
City
State
Zip/Postal Code
Phone Number
Anything else you'd like to share?
Submit
