Application for Baptism

At which campus do you want to be baptized?*

During which service do you want to be baptized?*

Name*

First Name

Last Name

Birth Date*

If you are under 18 , are your parents are aware that you would like to be baptized?*

Yes No

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Preferred Phone Number*

Email*

Have you accepted Jesus Christ as your Lord and Savior?*

Yes No Not Sure

Why do you want to be baptized at this time?*

Why do you think Christ's followers should be baptized?*

Please provide a special "life verse" or passage that means a great deal to you. Why is this verse/passage special to you?*

Please fill out your testimony below. When completing your testimony please describe the following: (1) Your life before you met Jesus (2) How you met Jesus (3) Since you met Jesus your life has changed/is changing in this way...*

What t-shirt size would you like?*

Baptism Application