Page 171 | Valparaiso Baptist Church

Baptism Registration Form

We are excited that you are considering baptism! Baptism is a public declaration of your faith in Jesus Christ and an important step in your spiritual journey. Please complete this form to register for an upcoming baptism service. A pastor or church leader may follow up with you to answer any questions and provide details on what to expect.

First Name (Required)

Last Name: (Required)

Date of Birth (Required)

Phone Number (Required)

Email Address

How long have you been attending our church?

Have you accepted Jesus Christ as your Lord and Savior? (Yes/No/Not Sure) (Required)

Briefly share your testimony—how did you come to faith in Christ? (Required)

Have you been baptized before? If yes, when and where?

Do you understand the meaning of baptism? (Yes/No/Need more info) (Required)

Do you have any special needs or accommodations we should be aware of?

Would you be willing to meet with a pastor or leader to discuss baptism further? (Yes/No)

Please select your preferred baptism date: (Required)

Please select an alternate date for your baptism, should your preferred date be unavailable: (Required)

By submitting this form, you acknowledge that baptism is a public declaration of your faith in Jesus Christ. Do you agree? (Yes/No)

Valparaiso Baptist Church

612 Emmettsburg St
Valparaiso, IN 46385

(219) 464-1443

vbc@valpobaptist.org

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