Water Baptism Application Form • Impact Church

Acts 2:38

“Repent and be baptized, every one of you, in the name of Jesus Christ for the forgiveness of your sins.”

After submitting this form, one of the Pastors will follow up with you to process through your application and confirm the date of your baptism.

First Name *

Last Name *

Home Phone *

Email Address *

How long have you been a follower of Jesus? *

Briefly explain your salvation experience *

Why do you want to be baptized? *

Are you willing to attend a baptism preparation class? *

Yes

Would you allow Impact Church to post your baptism video to their YouTube channel for public viewing?

Yes

Would you allow Impact Church to post photos of your baptism to their social media platforms? *

Yes

By entering your name this serves as a signature signifying your desire to become water baptized *

Date