Baptism Registration Form

Baptism Registration Form

We are very excited to have our Baptisms during services again! We want to celebrate this act of obedience with you! Please complete the Baptism form and we will touch base with you to set up your appointment for meeting with one of our pastors prior to your baptism date. Please let us know if you have any questions at all.
Full Name *

First Name Last Name
E-mail *
T-Shirt Size: *
Phone Number *

Area Code Phone Number
Date of Birth *

Month Day Year
Gender? *

Male Female
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Please state briefly how and when you placed your faith in Christ as Savior and began to follow Him with your life: *
Do you believe you are going to Heaven? Why do you believe that? *
Why do you want to be baptized? Have you been baptized before? Please explain *
Baptism is a public declaration symbolizing death to our old way of life and entering in the new life we have received in Christ. Though not perfect, does your life today reflect the change Christ has made in you? *
Are you being baptized with any family members? If so, who?
Please Select One:

I am ready to schedule my baptism. I need to speak with someone before I am ready to schedule my baptism.
If necessary, please select a Baptism Orientation date:

May 20, 2020 at 6:30 PM room 203B
Children's (up to 5th grade) Baptism Class will be held November 7th at 9:30 & 11

9:30AM 11:00AM
If ready to schedule, please choose a service for Baptism:

Sunday August 21, 2022 at 8:00AM Sunday August 21, 2022 at 9:30AM Sunday August 21, 2022 at 11:15AM
What service would you like to be baptized at?

8:00 AM 9:30 AM 11:15 AM
Pastor you would prefer to baptize you:

Pastor Heath Burris Pastor Kyle Totty Pastor Caleb Waldrop
Would you be interested in sharing your testimony on video?

Yes No
We are honored to give you a bible on the day of your baptism. Would you like to receive a bible?

Yes No
Should be Empty: