Baptism Form

Please complete this form if you would like to be baptized(or if you have a child who would like to be baptized).

(We ask that you include your address so that you can be sent a certificate.)

Your name *

Email address *

Are you filling this form out for your child? *

Phone number

In Matthew 28:18-20, what does Jesus tell his disciples to do with new believers? *

Why was Jesus qualified to die for our sins? (Hints: 1 Peter 2:22, 2 Corinthians 5:21) *

Read Acts 2:36 and Matthew 7:21. What does it mean for Jesus to be Lord of your life? *

Read Acts 2:37-38. What does it mean to repent? *

Are you ready to (or have you already) repent of your sins? *

Yes

Do you believe Jesus died for your sins and rose from the dead? "Those who believed what Peter said were baptized..." (Acts 2:41) *

Yes

Can you confess, "Jesus is Lord," and are you ready to follow and obey Him? *

Yes

Who would you like to baptize you? *

It can be anyone who is a baptized follower of Jesus.

When could you meet to talk to a pastor about being baptized? *

Do you attend Grace Community Church? *

Yes

Address *

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