Baptism Form for Wednesday Night Service

Date to be baptized*
Your Name*
First Last
Spouse First Name
First
Your Cell Phone*
Spouse Cell Phone
Home Phone (Landline)
Your Email*
Spouse Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Adults & Children Being Baptized*
Name M/F Birthdate of Children
Indicate t-shirt size below*
- Youth Small
- Youth Medium
- Youth Large
- Women’s Small
- Women’s Medium
- Women’s Large
- Men’s Small
- Men’s Medium
- Men’s Large
- Men’s X-Large
- Men’s XX-Large
Please give your brief description of how you and each family member that is being baptized came to know Jesus:
Thank you for signing up for our next baptism that will take place during our Wednesday night service. Baptism allows you to publicly declare that Christ has saved you, is changing you, and that you want everyone to know!
- Please arrive at the Church at 6 PM the day of the baptism. Everyone will meet at the Information Desk.
- A church leader will bring everyone into a meeting room for a short meeting.
- Please be dressed for a baptism. Shorts are appropriate or light long pants. Please wear a top or shirt that you can pull a t-shirt over as we will be handing out Baptism T-Shirts for everyone. We will have all sizes available to choose from.
- We will have towels available after each one getting baptized.
- Please bring a change of clothes for afterwards.
- There will be a basket near the information desk to drop off your towels.
- Please invite family and friends!
Consent*
I have read and understood the above information*

“Therefore we were buried with Him through baptism into death, that just as Christ was raised from the dead by the glory of the Father, even so we also should walk in newness of life”. (Romans 6:4)

Baptism Form for Wednesday Night Service

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Name	M/F	Birthdate of Children