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Baptism Application
In order to get baptized at The Pines, we need a little bit of information from you. Please fill out these questions and submit them to start the process.
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* Indicates required question
Name of applicant
*
First and Last
Your answer
Name of Parent/Guardian
Only needed if applicant is under 18
Your answer
Street Address
*
Your answer
City, State, Zip
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Date of Birth
*
Your answer
When is a good time to contact you?
*
Morning (9am-11am)
Noon
Afternoon (2pm-5pm)
Evening (before 9pm)
When did you decide to follow Jesus with your life?
*
If you remember the date or event please enter it. If not maybe a year or how old at that time.
Your answer
What do you think it means to get baptized?
*
2-3 sentences is recommended
Your answer
Comments
Your answer
Name of Person Submitting Form
Answer only if different than applicant.
Your answer
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