Application for BaptismBaptism | Sunday January 27This form provides a way for us to become acquainted with you and your spiritual walk. Please complete the Application below before attending your selected Baptism Preparation class. Which Baptism Prep class do you plan to attend?*Sunday January 13, 1:30pm, Room 305Wednesday January 16, 6:30pm, Room 303Date of desired baptism serviceName* First Middle Last Certificate name, if different from your legal nameDate of birth*Address* Street Address City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Primary Phone*Is this a home or cell phone?Cell phoneHome 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.