Baptism Registration Form
Attending a Baptism class is required for anyone who is interested in being water baptized.
Type your name as you want it to be on the Water Baptism Certificate
Date of Birth:
Address (certificates will be mailed)
State / Province / Region
Postal / Zip Code
Be sure to include apartment or unit number if necessary.
Is this a new address?
I would prefer to be baptized during the:
Sunday 10:30 UPLAND
I am flexible
Which class will you be attending?
Baptism Class: Adult
Baptism Class: Young Believers (for children 9-12 years old)
*Parents participating in baptism may attend the Young Believers class with their child.
Shirt Size (adult sizes)
How long have you been attending Water of Life Community Church?
Are you currently in a Small Group?
If yes, name of leader:
Will other members of your family be baptized at the same time?
If yes, please list their names and relationship to you below:
**These individuals must still complete their own registration form**
Do you have any special needs or disabilities we should be aware of?
Have you surrendered your life to Jesus to trust and follow Him as your Lord and Savior?
Who, besides the Holy Spirit, most influenced you to become a follower of Jesus?
Have you ever been baptized before?
If yes, when?
Share Your Story of Faith
Parents/Guardians, you can help your child fill out this section:
Describe what your life was like before you believed in Jesus, including events in your life that helped you realize you needed Jesus.
Describe what happened when you surrendered control of your life to Jesus and began following Him.
What is Jesus doing in your life now? Describe how your life has changed since you began truly following Jesus. Include what he has been teaching you recently.