Baptism-Student 2024

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Name

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Parent(s) Name(s)

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Address

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Email

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This address will receive a confirmation email

Phone

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Birthdate

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Grade

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Please select one option.

PreK K 1 2 3 4 5 6 7 8 9 10 11 12

Gender

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Please select one option.

Male Female

Tell the story of when you asked Jesus to be your Savior.

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Are you going to heaven? If you are, how do you know?

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What does being baptized mean to you?

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Why do you want to be baptized?

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Have you ever been baptized before?

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Please select one option.

Yes No

Description

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