Water Baptism Form

First Name

Last Name

Email Address

Moblie Phone

Preferred method of contact Preferred method of contact *Phone CallTextEmail

Age Age *Over 12Under 12

When do you want to be baptized? Select Preferred Quarter When do you want to be baptized? Select Preferred Quarter *January - MarchApril - JuneJuly - SeptemberOctober - December

T-Shirt Size (standard adult sizes) T-Shirt Size (standard adult sizes) *SmallMediumLargeXLXXL

Have you accepted Jesus as our Lord and Savior? Have you accepted Jesus as our Lord and Savior? *YesNo

Visit our Salvation Page! Visit our Salvation Page! Faith4Life Salvation Page

What has Christ done in your life that has led to your water baptism decision?

I give faith4life permission to share my photo I give faith4life permission to share my photo *YesNo

I give faith4life permission to share my testimony I give faith4life permission to share my testimony *YesNo