Get Baptized

Full name:


Contact phone

Parent Name:
If you are a parent filling out this form on behalf of a child who wants to get baptized, please provide your name here!

How old is the person being baptized?
Pardon our asking! This question is intended to help is better follow up with kids who are interested in being baptized.

When did you make a decision to follow Christ?
You don't have to know the exact date, just a month and/or year.

Why have you decided to get baptized?
This is your opportunity to tell us a little more about your journey to this point.

We love to share the stories of people as they are being baptized, so this statement (or a part of it) may be read out loud at your baptism.