Water Baptism Application

Name *
Name
Address
Address
Birthdate
Birthdate
We will provide you with a free baptism shirt to be worn during your baptism.
Marital Status
Personal Faith Journey and Background
Have you received Jesus Christ in to your life as your Lord and Savior? *
Have you already been baptized in water?
I give my permission for Bethel Church to share photos/videos of me and/or my family following the baptism on their website and/or social network site.