309-681-4688

Baptism Request

Baptism Request Form

* Required

Please complete all the information below in its entirety.

Can you receive texts?

Have you received Christ as your Lord and Savior?

Please tell us about when you decided to receive Jesus Christ as your Savior and Lord.

Can you tell us what is different about your life since you accepted Christ?

Who (besides the Holy Spirit) most influenced you in your decision to get baptized?

Explain in your own words what being

baptized means to you.

Would you like additional teaching on baptism?

What is one thing that God has done in your life that you would want others to know?

Page 1 of 4

Water Baptism is the 4th Sunday of each month after the 11:30 am worship service.We will contact you prior to your scheduled baptism to discuss any questions you may have. It is important that you supply accurate contact information or call the office a week prior if you have not been contacted.

Page 2 of 4

If you indicated that you would like additional instruction on baptism, we will contact you with information on the next teaching session.

Page 3 of 4

We will provide towels, a top and bottom for you to wear for the event. You are welcome to bring your own clothes if you so desire. Baptism will be held at the end of the service. If you have any questions, or if you have any special baptism needs, please contact the church office. 309-681-4688

Send me a copy of my responses.

Page 4 of 4