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Baptism signup
Baptism Signup Form
The Bible says that all professing Christians should be baptized (Matthew 28:18-20). Whether you've been following Jesus for a long time and never got baptized or are a new Christian, we would be honored to baptize you!
First Name of Baptism candidate
Last Name of Baptism candidate
Phone Number of candidate
Select Gender of Candidate
Select One
Male
Female
Select one of the following options for candidate.
Select One
Child
Student
Adult
Who would be baptizing
Pastor Mike Keahbone
Pastor Troy
Pastor Brandon
Pastor Mike Neff
Other
If other selected please explain below
T-shirt Size
Youth Medium
Youth Large
Small
Medium
Large
X-Large
2X-Large
3X-Large
Date of baptism requested by candidate
Month
January
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Anything else you would like to share?
Person Requesting Baptism
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