Baptism Sign-up Form

Full Name *Enter your full name.

Enter your email *

Home Address *This is an optional description of the field.

Phone Number *(Area Code) xxx-xxxx

Describe when you received Jesus as your Lord and savior?

The person being baptized is. *

a child

a youth

an adult

Why did you want to be baptized? *By submitting, you will be added to our weekly Alive Today Devotional's for our upcoming messages, events such as upcoming baptisms, as our FREE gift to you.