Form Entry

First Name

Last Name

Mobile Phone

Birthdate

/ /

Gender

Male Female

Address

Marital Status

Have you made a personal commitment to follow Christ?

Yes No Not yet tell me more about this

What service do you prefer to get baptized in?

8:30am 10:00am 11:30am

Have you spoken to a pastor about your baptism?

If yes, which pastor?

What size t-shirt would you like to get baptized in?

Is there someone specific you want to pray for you before your baptism?

What has God been doing in your life lately that has led to this decision to be baptized?

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