First Name:
Last Name:
Address:
City:
State:
Zip:
Birth Date (MM/DD/YYYY):
Home Phone:
Cell Phone:
Email:
Which campus do you attend?
Central Campus
Journey Campus
Word Campus
Which service do you attend?
8:00am
9:30am
11:00am
5:00pm
We will be corresponding with you about your meeting and baptism through email.
Do you believe you're going to heaven? Why do you believe this? (2000 characters max)
Please state briefly how and when you accepted Christ as your Savior. (2000 characters max)
Why do you want to get baptized? Have you been baptized before (since becoming a Christian)? (2000 characters max)
Please select one:
I am ready to schedule my baptism. (We will email you with available dates)
I need to speak with someone before I am ready to schedule my baptism.
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