Baptism Form

PLEASE COMPLETE THE FOLLOWING INFORMATION; WHICH WILL BE USED TO ENABLE US TO PROCESS YOUR BAPTISM FORM AND ISSUE A CERTIFICATE.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Gender

*

Please select one option.

Male Female

Date of Birth

*

DO YOU ATTEND REVENANT WORSHIP CENTER?

*

Please select one option.

YES NO

HAVE YOU BEEN BAPTIZED BY IMMERSION BEFORE?

*

Please select one option.

YES NO

HAVE YOU BEEN BORN AGAIN?

*

Please select one option.

YES NO

HAVE YOU READ THROUGH AND UNDERSTAND THE BAPTISM TEACHING ON OUR WEBSITE? If not, click link below to review

*

Please select one option.

YES NO

Baptism Teaching
Click link to review teaching.

IN YOUR OWN WORDS, PLEASE STATE WHY YOU DESIRE TO BE BAPTIZED IN WATER:

*

Scrubs are provided for you. Please Indicate sizes below. (Adult sizes only)

Scrub Top Size

*

Please select one option.

Small Medium Large X-Large 2XL 3XL

Scrub Pant Size

*

Please select one option.

Small Medium Large X-Large 2XL 3XL

Description

PLEASE COMPLETE THE FOLLOWING INFORMATION; WHICH WILL BE USED TO ENABLE US TO PROCESS YOUR BAPTISM FORM AND ISSUE A CERTIFICATE.

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