EmailMe Form - BAPTISM APPLICATION

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth *

MM / DD / YYYY

Number *

Email

Checkbox

Name of Nearest of Kin

First Last

Address Of Nearest of Kin

Relationship

Number

Do You Know That You Are Saved ?

YES

NO

Give reason for your answer.

Where did you accept Jesus as your personal Saviour ?

When did you accept Jesus as yet personal Saviour ?

Were you a member of any other church before this church ? Please state name.

Why are you leaving your present assembly ?

Why do you want to be baptist ?

HAVE YOU BEEN BAPTIZED BY IMMERSION IN WATER BEFORE ?

YES

NO

IF YOUR PREVIOUS BAPTISM IN WATER IS NOT ACCEPTED BY OUR FELLOWSHIP , ARE YOU WILLING TO BE BAPTIZED ACCORDING TO THE TEACHINGS OF OUR FELLOWSHIP AS OUTLINED IN MATTHEW 28:10 ?

YES

NO

IF MARRIED , ARE YOU LIVING WITH YOUR HUSBAND / WIFE ?

YES

NO

ARE YOU LIVING WITH SOMEONE TO WHOM YOU ARE NOT MARRIED ?

YES

NO

ARE YOU INVOLVED IN ANY TYPE OF SEXUAL RELATIONSHIP OTHER THAN MARRIAGE ?

YES

NO

ARE YOU INVOLVED IN ANY OF THE FOLLOWING ?

DO YOU PROMISE TO DO THE FOLLOWING ?

READ YOUR BIBLE AND PRAY DAILY

ATTEND CHURCH SERVICES

SEEK THE INFILLING OF THE HOLY SPIRIT ACCORDING TO ACTS 2 : 4

WIN OTHERS TO CHRIST

PARTICIPATE IN MISSIONS / ACTIVITIES BE WILLING TO FORSAKE ALL WORLDLY PLEASURES TO FOLLOW JESUS

Statement of Faith
I believe that Jesus Christ is the son of GOD who died and rose from the dead I believe that only the blood of Jesus cleanses us from sin.

YES I AGREE

I DISAGREE

I pledge to be faithful to God , His Word and His Church . I will abstain from consuming blood ( e.g. black pudding ) , using tobacco , drugs , alcoholic drinks and anything that is against the teachings of the Bible and the church . I will attend services faithfully

YES I AGREE

I DISAGREE

Date

MM / DD / YYYY

I declare that all of the above information is true and anything other than the truth is a sin against God *

YES I AGREE