Baptism Application

Application for Believer’s Baptism

Today’s Date:

Name

Address

Phone

Email

Date of Birth

Questions:

Have you personally received Christ as your Lord and Savior?

Yes

No

If so, when and where?

Please give brief details regarding the circumstances of your conversion.

Share your personal understanding of the purpose of baptism.

Are you a member of or currently attending another church? If so, please give details including the name of the pastor.

Please give your two preferred dates for Baptism: