I want to be Baptized!

1
Name* This field is required.Please fill out First & Last Name.
First Name
Last Name
2
Age. Only needed if person is a minor.
3
E-Mail Address* This field is required.Please enter the preferred email address you would like us to use.
4
Mobile Number
Area Code
Phone Number
5
Who would you like to baptize you?
Pastor
Parent
Friend
Sibling
Other
6
Pre-Service Meeting...* This field is required.If you, or your child is getting baptized please attend the pre-service meeting at 10am on Sunday. Location: The Baptismal( Front of the auditorium on the left hand side when looking at the stage.)
YES, I will be able to attend the Pre-Service Meeting.
I will NOT be able to attend the Pre-Service meeting.
7
Please give a brief description why you would like to get baptized!Please keep this answer 1-3 Sentences.
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Ok
Ok
8
Please upload a picture of yourself!
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Select files to upload
Max. file size: 10.6MB
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Thank you for submitting this form!

If you have any questions please don't hesitate to contact the Life Church Office at 503.362.0362 or email: connect@lifechurchsalem.com

We are so excited to partner with you in New Creation life! We declare the dead things to pass away and the new things to come!

2 Corinthians 5:17
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