Baptism Form

Please fill out this form to schedule a baptism. Once you have filled out this form, someone from the church will contact you to follow up to confirm the time and date.

Contact Information * required

Birth Date *

Please state briefly how and when you accepted Christ as your Savior: *

Why do you want to get baptized? Have you been baptized before (since becoming a Christian)? *

Please Select One: *



Please select the month you would like to be baptized. *

We have baptisms the first Sunday of the month.

                                   

Please select which Worship Service would you like to be baptized? *

     

Age of child being baptized.

(Please answer this question if you are scheduling a baptism for your child.)

Name of Parents

(Please fill this out if you are scheduling a baptism for your child.)