baptism form

We're so glad you are considering getting baptized!  Please fill out this form at least one week prior to your baptism.

Prefix



First Name
Last Name
Address 1
Address 2
City
State
Zip
Home Phone
Work/Cell Phone
Email
Age
When would you like to be baptized?
Date Requested
How many guests will be accompanying you?
What small group or ministry team are you a part of?
I am currently not involved in any group or ministry. Please have someone contact me.
How long have you been attending Journey's Crossing?
Who most influenced you to attend Journey's Crossing?
Where would you describe yourself spiritually when you first started attending?
Have you made a personal decision to make Jesus the Leader and Forgiver of your life?
*If yes, approximately how long ago?
Was there someone who influenced or helped you to become a believer?
*If so, who?
Did you ever participate in a Seeker Small Group?
Are you currently in a Small Group?
*If so, whose?
Were you baptized as an infant?
What most motivated you to get baptized at this time?
Briefly describe what your life was like before you decided to trust Jesus.
Briefly describe how and when you decided to trust Jesus alone for your salvation.
Briefly describe how this decision has made a difference in your life.
I give you permission to read my story during one of our services.


I give you permission to videotape my baptism.
Please answer the simple math question below to submit the form.
2 + 2 =