Children's Baptism Registration Form

Children's Baptism Registration Form
Full Name *

First Name Last Name
Parent or Guardian E-mail *
example@example.com
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.
Please pick a children's baptism class to attend:

November 8, 2020 at 9:30 AM in Room 202C
If ready to schedule please choose a date:

May 30, 2020 at 6:00PM May 31, 2020 at 8:00 AM May 31, 2020 at 9:15 AM May 31, 2020 at 11:15 AM
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: