Baptism Registration Form

You can use this online form to share with us your desire to be baptized. Your completed form will be emailed to the church office and a staff member will contact you. We ask that every person who desires to be baptized complete this form.
Be sure to also download a copy of the Baptism Information Sheet. You can also click on the link to the left. We believe you having this information is an important step in your choosing to follow Christ.

First and Last Name
Address
City, State, ZIP
Birthdate/Age
Phone
Email
I have read the Baptism Information Sheet	Yes No
Please state how you met Christ. Be as detailed as possible.
If God were to ask you why you should be allowed into heaven how would you answer?
Why do you want to get baptized? Have you been baptized before? If so, was it before or after becoming a Christian?
Please check one:		I am ready to schedule my baptism. (We will contact you with available dates.)
		I need to speak with someone before I am ready to schedule my baptism.