Baptism Registration

First Name:*
Last Name:*
Phone Number:
Email Address:*
Address*
Street Address Address Line 2 City State ZIP Code
What campus would you like to be baptized at:*
Do you have a preference of which pastor talks with you before baptism?*
You will be provided a t-shirt for being baptized. Select your preferred size:*
Are there any special accommodations you may need:
Share 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?
Email
This field is for validation purposes and should be left unchanged.

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