Name *

First

Last

Layout

Phone *

Date of Birth *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Gender *

Have you accepted Jesus Christ as your personal Savior? *

Please briefly share your testimony or how you came to faith in Jesus Christ:

Are you currently a member of Grace Christian Church – Église Chrétienne De La Grâce? *

Do you have any special needs or requests for the baptism day?

Is there anything else you would like the church to know before your baptism?

Baptism Registration

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