Baptism Registration Form
Please fill out the form below and watch the video included. Someone from our team will follow up with you!
Name
*
First Name
Last Name
Are you filling out for a minor/are a minor?
*
Yes
No
Is this the minor in 3rd grade or above?
*
Yes
No
If Minor, Parent's Name
*
First Name
Last Name
If minor, does The Point have parental consent to post baptism pictures on social media and website?
*
Yes
No
Gender
*
Please Select
Male
Female
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
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1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
T-Shirt Size:
*
Please Select
YM
YL
SM
M
L
XL
XXL
XXXL
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Confirmation Email
example@example.com
Phone Number
*
Which Campus do you attend?
*
Charlottesville
Louisa
Online
Waynesboro
Check all that apply:
*
I have accepted Christ as my Savior
I am not sure if I am a Christian
I am currently in a group at The Point
I have been baptized previously
I want to talk to someone about what baptism means
Were you saved at The Point?
*
Yes
No
Other
If yes, when?
-
Month
-
Day
Year
Describe briefly what your life was like before Christ and how you got saved:
*
Describe briefly why you want to be baptized:
*
Please take a few minutes to watch this teaching on baptism
Have you completed watching the teaching?
*
Yes
Not Yet
Save
Submit
Clear Form
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