Baptism Form - Lincoln Berean

Baptism – Getting Started

We are so excited that you are considering baptism! This service will be an amazing time of celebration! Because we usually have a waiting list for the service and because we fill the services on a first come first served basis, we need you to complete all of the following steps before you can be included on the baptism list.

Name*
Name
Phone*
Phone
Email*
Email
Contact them via email*
May we use this email address to communicate with you regarding baptism?
Address
Address

Street Address Address Line 2 City State ZIP Code
Baptism Certificate Information
Full legal name*
Full legal name
Birthdate*
Birthdate
MM slash DD slash YYYY
Birthplace (city / state)*
Birthplace (city / state)
Baptism Service Information
Name you go by
Name you go by
Instructions
Add any instructions necessary for pronunciation; add phonetic spelling if necessary
Select your age range/group*
Select your age range/group
Which service do you prefer to be baptized?*
Which service do you prefer to be baptized? Please note that we will fill the services on a first come, first served basis.
What is your second choice?*
If all available slots are filled for your first choice of services, what is your second choice?
t-shirt size*
A t-shirt will be provided for you to change into following your baptism. Please select a size:
Who would you like to perform your baptism?*
Who would you like to perform your baptism?
Their name
If you would like to have someone specific perform your baptism, please contact them directly to make arrangements. Please provide their contact information for our records.
Their phone
Their email
Your Personal Story
Your story*
Describe the circumstances in your life that God used to bring you into a relationship with Jesus.
+ What was your experience like before Christ entered your life?
+ Did your conscience bother you about your sins?
+ Describe your belief in your need for salvation from your sins, especially the eternal consequences of sin being covered by the work of Jesus on the cross.
+ What changes have happened to you because you believed in Jesus and accepted his salvation?
+ What leads you to be baptized now?
In a sentence or two explain why you have decided to be baptized and to publicly declare that you are a follower of Jesus*
In a sentence or two explain why you have decided to be baptized and publicly declare that you are a follower of Jesus.
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Baptism Certificate Information

Baptism Service Information

Your Personal Story