Baptism Request

These have been given to the church by Christ as visible signs of the gospel. A believer’s baptism is a powerful public confirmation and seal of our union with Christ and represents the believer’s entry into the Church.

First Name of Candidate *

Last Name of Candidate *

Parent's First Name (If candidate is under 18)

Parent's Last Name (If candidate is under 18)

Email Address *

Phone Number

Date of Birth *

Date of Salvation *

(Estimate if not known)

Acknowledgement *

By checking here, you acknowledge that the below electronic signature is the person completing and submitting this application.

Signature *

Clear

Human Verification