Water Baptism is a public, outward declaration that reflects a personal, inward faith. It associates the believer with the death, burial, and resurrection of Jesus Christ, and signifies the believer's death to the old life and his or her resurrection as a new creation in Christ (Romans 6:1–8; Colossians 2:12, 2 Corinthians 5:17).
Name of person being baptized
Street Address Line 2
State / Province
Postal / Zip Code
Have you accepted Jesus Christ as your Savior?
Select Adult if 18 years+ OR Child if under 18 years of age
PARENTS (if child is under 18), complete the following child who is being baptized:
Notes or questions
Should be Empty: