Baptism Application Once we receive your registration form, we will contact you to schedule your baptism. If you have any other questions or concerns regarding baptism, please contact us.Name* First Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Birth Date MM slash DD slash YYYY Home PhoneCell PhoneEmail* Enter Email Confirm Email 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* I am ready to schedule my baptism. (We will email you with available dates.) I need to speak with someone before I'm ready to schedule my baptism. EmailThis field is for validation purposes and should be left unchanged. Δ