Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
Mailing Address *
Mailing Address
Name of Person You'd Like to Baptize You
Name of Person You'd Like to Baptize You
We feel it's important that you have someone baptize you who has had a spiritual influence in your life. If there is someone specific you would like to baptize you, please provide their info below; or you can type NA for not applicable, in which case, one of our Campus Pastors will baptize you. In order for a person to be eligible to perform a baptism, they also must answer β€œyes” to the above questions AND have been baptized themselves.
Phone Number
Phone Number
Of the individual who you would like to baptize you.