Application for Baptism This form provides a way for us to become acquainted with you and your spiritual walk. Please complete the Application before you attend a Baptism Preparation class.Date of desired baptism service*Name* First Middle Last Certificate name, if differentPlease provide your name exactly as you want it to appear on your baptism certificate, if different from your legal nameDate of birth*Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home PhoneCell PhoneWhat church or religious backgrounds have influenced your life—positively, negatively, or both?*Explain how you came to saving faith in Jesus Christ.*Explain the gospel of Jesus Christ. How is a person made right with God?*What Scriptures did God use that were instrumental in your coming to Christ?*How has your life changed since you put your faith in Christ?*Why do you want to be baptized?*In your own words, explain the purpose of baptism.* Save and Continue Later Questions about baptism?** This iframe contains the logic required to handle Ajax powered Gravity Forms.