Community Wide Baptism
Saint Paul A.M.E Church, Jacksonville, FL
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Candidate's Full Name (if not you)
*
First Name
Last Name
Candidate's Age
*
Candidate's Gender (For Dressing Room Assignment Purposes Only)
Male
Female
Mother's Name (For Children Under 18 Baptism Certificate)
First Name
Last Name
Fathers Name (For Children Under 18 Baptism Certificate)
First Name
Last Name
Have You Been Baptized Before (with water)?
*
Yes
No
Baptism Preference
*
Full Immersion (pool)
Sprinkle (sprinkle of water)
Please select the most accurate:
*
I am a member of Saint Paul
I belong to another church
I don't belong to a church
I would like to find a church
I would like to join Saint Paul A.M.E. Church
Visitor
Have you prayed the prayer of salvation? (Are you saved?) No matter who you are or where you are from, you are accepted here. We can't wait to see you!)
*
Yes
No
I would like to be. Please help
How did you hear about us? (select all that apply)
*
Social Media
Radio
Church Announcements
E-mail
A member/friend
Other
Submit
Should be Empty: