Baptism Application Form

Age 12 – and Above Years Baptismal Application Form

Baptism Type: Baptism by Immersion

Baptismal Candidate Details

Christian Names:(Required)

Surname:(Required)

Age:(Required)

Do you believe in Jesus as your Lord and saviour?(Required)

Do you believe in the virgin birth, death and resurrection of Jesus?(Required)

Do you believe in the return of our Lord Jesus?(Required)

Have you been baptised before(Required)

Address

Address Line 2 City ZIP / Postal Code

Telephone(Required)

Email(Required)

Family Detail

Are you from a Christian Family?(Required)

Father’s Full Name(Required)

Mother’s Full Name(Required)

Father’s Occupation (Optional)

Mother's Occupation (Optional)

Address:

Address Line 2 City ZIP / Postal Code

Telephone:(Required)

Email(Required)

God Parents

GOD FATHER

Name:(Required)

Born again confirmed Christian?(Required)

Denomination/Church

Address:

Address Line 2 City ZIP / Postal Code

Telephone:(Required)

Email(Required)

GOD MOTHER

Name:(Required)

Born again confirmed Christian?(Required)

Denomination/Church

Address:

Address Line 2 City ZIP / Postal Code

Telephone:(Required)

Email(Required)