Baptism

Your name *

Last name

Email address *

Phone number *

Phone type

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Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Birthdate *

T-shirt size *

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Share when you received Christ as your Savior. *

What experiences helped you realize your life was not the way it could or should be, or the circumstances that influenced you in trusting in Jesus? *

Do you have a specific person you would like to baptize you?

Why do you want to get Baptized? *

You have my permission to share my story on the church website/social media – I would love to help point others to Christ this way.

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