Water Baptism Form - City Church

Are you filling this form out for yourself or someone else? *

Myself

Someone else

Is Jesus Christ your Lord and Savior? *

Yes

No

Is there someone specific that you would like to assist you with your Baptism? *

Yes

No

Will you be able to attend the Pre-service prayer at 9:45am Sunday morning? This is a time where our leadership goes through the order of service for Sunday morning. We also would love to pray over you! *

Yes

No

We typically allow for baptisms to occur the 4th Sunday of every month. Would you like to be baptized this coming 4th Sunday? *

Yes

No, I would like to be baptized a different day.

Share a little about why you have made the decision to be baptized.

We are so excited that you have made this decision and would love to hear about it!