Baptism Interest Form

Please fill out this form and click submit.

WHAT: Publicly declaring your intent to follow Jesus
WHO: If you are a follower of Christ and have not been baptized, or if you have recently put your faith in Jesus, by asking him to be the forgiver of your sins, and leader of your life, this is your next step! If you are interested in being baptized fill out this form and a member of our pastoral team will follow-up with you.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Please select your age category

*

Please select all that apply.

K-5th Grade 6th-8th Grade 9th-12th Grade Adults

If filling out this form for a child, please put the parent/guardian name and contact information here.

First Name and Last Name Email and Phone Number

Phone

What is the best time to contact you?

*

Please select all that apply.

Morning (after 9am) Afternoon (after 12pm) Evening (after 5pm)

What size T-Shirt do you wear

*

Please select all that apply.

Youth Small Youth Medium Youth Large Youth XL Adult Small Adult Medium Adult Large Adult XL Adult 2XL

Description

Please fill out this form and click submit.

Please Fix the Following

Close