Baptism Registration

First Name:*
Last Name:*
Phone Number:
Email Address:*
Address*
Street Address Address Line 2 City State ZIP Code
Each person being baptized will be provided a t-shirt, but please wear a pair of dark shorts and bring a towel and dry clothes. Please select your preferred size:*
What campus would you like to be baptized at:*
Do you have a preference which Pastor talks with you before baptism?**
Please tell us about any special accommodation you may need:
Please tell us how and when you became a Christian. What makes you sure you are a Christian? What evidence is there that Jesus Christ lives within you?
Are you willing to tell your story on video?
Phone
This field is for validation purposes and should be left unchanged.

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