Next Steps
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Check All Boxes That Fit You:
*
I Accepted Christ Today
I Rededicated My Life to Christ Today
Request Water Baptism
Request Child Dedication
Testimony!
Please Select Shirt Size (Water Baptism only)
Please Select
YM
YL
YXL
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Your story:
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