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Baptism Request

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Tell us briefly how and when you accepted Christ as your Savior.:
*Why do you want to get baptized? Have you been baptized before?:
*At What Campus Would you Like to be Baptized?:
*Please select at date for your baptism.:
Please select at service time for your baptism.: