Immanuel Baptist Church
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Baptism Application
Whether you've been following Jesus for a long time and never got baptized or are a new Christian, we would be honored to baptize you!
First Name
Last Name
Email
Phone Number
Date of birth
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
1
2
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31
1912
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1960
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1974
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1979
Year
1980
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2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Gender
Male
Female
I'd rather not say
Parent's Name (if under 18)
I accepted Jesus Christ as my Lord and Savior (date, approximate okay)
Please check all that apply
I understand that baptism is a form of obedience & public expression of my faith in Jesus Christ
I have read and understand IBC's Statement on Baptism
IBC's Statement on Baptism
Tell us your story:
Anything else you would like to share?
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