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:*
Please select a campus and service preference:*
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?