Baptism

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Individual Information
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Cedar FallsDecorahFort DodgeGrinnellIndependenceNew HamptonOnlineOsage
Cedar Falls Baptism Dates
Decorah Baptism Dates
Fort Dodge Baptism Dates
Grinnell Baptism Dates
Independence Baptism Dates
New Hampton Baptism Dates
Online Baptism Dates
Osage Baptism Dates
Age Group:*

Children (11 years old and under)Students & Adults (12 years and older)
Age Group Cedar Falls:*

Children (11 years old and under)Students & Adults (12 years and older)
T shirt Size*
Email Address*
Children (11 years old and under)
First Name*
Last Name*
Birthdate

MonthDayYear
Date
Grade*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:*
What is your favorite Bible story? Why?*
How do you feel about Jesus?*
Who helped you understand who Jesus is? How?*
Describe when and how you crossed the Faith Line.*
How has crossing the Faith Line changed you?*
What are two ways that your faith shows up in your daily life?*
Why do you want to be baptized?*
Who would you like to thank for helping you in your journey towards the Faith Line?
Students & Adults (12 years and older)
First Name*
Last Name*
Birthdate

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone*
Parent Name*
Parent Email*
example@example.com
Parent Phone*

Area CodePhone Number
How long have you been attending Prairie Lakes Church?*
When did you step over the Faith Line?*
Briefly describe your faith story including why you have chosen to be baptized.*
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Individual Information

Children (11 years old and under)

Students & Adults (12 years and older)