» Baptism

Name of person wanting to be baptized:*

First Last

If the above is a minor child, please give the name of the parent/guardian to contact:

First Last

Best Phone Contact*

Best Email Contact*

T-shirt size for the person being baptized*

Baptism Details

When would you like to be baptized?*

At the next regularly scheduled baptism service
At another specific date (list below)

If a specific date, please list the date below:

In which service would you like to be baptized?*

Sunday 9am
Sunday 10:30am
N/A (at a specific service / event)

Who would you like to baptize you?*

Pastor Rick White
Pastor Kim Harless
Other

If other, please give the name of the person you would like to baptize you:

We will want you to give a brief narrative as to what brought you to trust Christ and what brought you to be baptized today. How would you prefer to do this?*

I plan to tell my story live before being baptized
I would prefer to tell via video before hand (not always available as an option)
Whichever way is available

Getting Baptized at CityView

Baptism Details