Phone number *
Phone type Mobile Home Work Other
Have you been able to complete the workbook with your child? *
Select… Yes No Most of it Some of it
What do you love about Jesus? *
What does it mean to follow Jesus? *
How is Jesus making a difference in your life - how are you becoming like Jesus? *
Why do you want to be baptized, and what does it mean to get baptized? *
During which gathering do you want your child to be baptized? *
Select… Sunday, November 16th @ 8:00am Sunday, November 16th @ 11:15am Other
We'll do our best to accommodate your preferred baptism service. If we're unable to, what would be your next service choice? *
Select… Sunday, May 18 - 9:30 a.m. Sunday, May 18 - 11:15 a.m.
We'll do our best to accommodate your preferred baptism service. If we're unable to, what would be your next service choice? *
Select… Sunday, May 18 - 8 a.m. Sunday, May 18 - 11:15 a.m.
What size t-shirt does your child wear? *
We currently only stock adult sizes.
Select… Extra Small Small Medium Large XL Other
Who would you like to baptize your child? *
If you do not know, we can help you think through options when we meet! If you know who you would like to baptize your child and they are not a Pastor or on Staff, please ask them to make sure they are ok with baptizing them. You are also welcome to baptize your child.
Select… Pastor Andrew Wilson Pastor Nate Cummings Pastor Nate Hercula Staff Member Me (Child's Parent/Guardian) Other
Are there any questions you or your child have regarding baptism?
Submit