Fill out the form below to be included in our next Baptism Celebration.

Name *
First Name
Last Name
Phone Number*
Your Age?*
Have you accepted Jesus into your life?*
Date that you accepted Christ?
Why do you want to be water baptized? *
Are you a member of Love of Christ Church?*
If not, what church have you been attending?
What service would you like to be baptized at? *