Water Baptism Form

Water Baptism
Full Name*

First Name Last Name
Date of Birth*

MonthDay Year
Date
Mobile Phone*
Email*
example@example.com
Do you attend online or in person?*

In PersonOnline
Gender*

MaleFemale
Marital Status*

MarriedSingleWidowedDivorced
Address*

Street Address Apt. #
City, State*

City State / Province
Zip Code*
Have you accepted Jesus Christ as your Personal Savior?*

YesNo
How long have you been attending LTF?*
Have you been baptized?*

YesNo
If yes, where?
Baptism Date

Month Day Year
Was Certificate Issued?

YesNo
Should be Empty: