Baptism Application

Please take your time and answer these to the best of your ability.

**Parents, if this is for your child, please make sure that these are their answers.**

Your name *

Last name

Email address *

Personal Info

Name *

Phone Number *

Phone type

Birthday *

Age Range *

Elementary

Middle School

High School

Adult

Gender *

Please select a T-shirt size: *

Salvation & Faith

Please check the boxes if you fully understand and believe the following statements.

I believe that Jesus Christ is the Son of God. *

I believe that Jesus was born of a virgin and lived a perfect, sinless life. *

I believe that Jesus Christ died on the cross as a perfect sacrifice for my sins. *

I believe that on the third day, Jesus rose from the dead, by the glory of God, and proved himself to be God. *

I have surrendered my life to Jesus Christ as the Lord of my life. *

I would like to be baptized. *

Baptism Questions

What Life Group are you in? *

Describe the relationship you have with Jesus Christ. What does it mean to you? *

Before Christ, I was ________________. *

Fill in the blank with one or two words, and then explain in 2-4 sentences. How were you living your life before you came to faith in Jesus?

Now with Christ, I am _________________. *

Fill in the blank with one or two words, and then explain in 2-4 sentences. How has your life been different since coming to faith in Christ?

Describe the moment Jesus became the Lord of your life. Was it a specific day? *

On this answer, we want to see a clear time or moment when you became sure that you were a Christian.

Who helped lead you to Jesus? *

How has your life changed since you have believed in Jesus? *

If you were to die tonight and you stood before God and he said, "Why should I let you into my heaven?" What would you say to him? * *

Have you been baptized before? *

Yes

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Canyon Hills Community Church
info@chccbw.org
425-488-4121

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