Baptism Interest Form

First Name

Last Name

Campus

Mobile Phone

Ministry:

Parent/Guardian Name: (needed for Willow Kids and JHM only)

Parent/Guardian Email: (needed for Willow Kids and JHM only)

Parent/Guardian Phone Number: (needed for Willow Kids and JHM only)

T-shirt Size

Have you been Baptized before?

Have you accepted Jesus as your Lord and Savior?

Why would you like to get baptized?

What location are you going to be baptized at?

Choose a 2025 Date:

Choose a 2025 Time:

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