Water Baptism Request Sheet

First Name*

Last Name*

Email Address*

Confirm Email Address*

Mobile Phone #

Home Phone #

Work Phone #

Please indicate your membership status.*

Member

In Process of Membership

Not a Member

Have you accepted Jesus Christ as personal Saviour?*

Yes

How would you describe your life BEFORE you accepted Christ?*

How did you come to know Jesus Christ as your personal Saviour (who told you about Jesus, when did you believe in Him, what were the circumstances)?*

Share about your life AFTER you have accepted Christ (what changes have you noticed in your life, how has Jesus changed you)?*

Share your favourite bible verse & explain briefly why it is important to you.*

Enter the code displayed*