Baptism Registration

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Name

First

Last

Phone

Date of Birth

Gender

Address

Address Line 1

Address Line 2

City

State

Zip Code

Have you accepted Jesus Christ as your personal Savior?

Please briefly share your testimony or how you came to faith in Jesus Christ:

Are you currently a member of Grace Christian Church – Église Chrétienne De La Grâce?

Do you have any special needs or requests for the baptism day?

Is there anything else you would like the church to know before your baptism?