Full name of person being baptized
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
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Do you attend services at Calvary Chapel Las Vegas?
*
Yes
No
If not how did you hear about us? (Please note: You do not have to attend services at CCLV in order to be baptized. We simply would just like to know mor eabout you!)
Age of person being baptized
*
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Are you born again? When?
*
What does baptism mean to you?
*
These dates/times are subject to change. The baptism administrator will inform you of any changes.
Please choose a date
*
2nd Sunday of the month (baptisms held after the 11am service)
4th Sunday of the month (baptisms held after the 11am service)
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