Baptismal Form
Please fill out this form and click submit.
Today's Date
*
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Have you had one on one baptismal training?
*
Please select all that apply.
Yes
No
If yes, provide the name of the Holy Temple leader.
*
Describe when you got saved and what has been different about your life after God saved you through the finished work of Christ.
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Select a month to be baptize.
*
Please select one option.
January
February
March
April
May
June
August
September
October
November
Select Option
January
February
March
April
May
June
August
September
October
November
Select a Sunday to be baptize
*
Please select one option.
1st Sunday
2nd Sunday
3rd Sunday
4th Sunday
5th Sunday
Select Option
1st Sunday
2nd Sunday
3rd Sunday
4th Sunday
5th Sunday
Submit
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