EmailMe Form - Take the Plunge!

Name *

First Last

Birthday *

MM / DD / YYYY

If under 18, enter your Grade below. If over, enter N/A *

Email *

Phone *

### - ### - ####

Address *

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

Please select the service during which you would like to be baptized: *

Sarasota Campus 9:00am

Sarasota Campus 11:00am

Palmetto Campus 10:30am

Have you prayed a prayer like this?

“Dear God, thank you for making me and loving me, even when I've ignored you and gone my own way. I realize I need you in my life and I'm sorry for my sins. I ask you to forgive me. Thank you for dying on the cross for me. Please help me to understand you more. As much as I know how, I want to follow you from now on. Please come into my life and make me a new person inside. I accept your gift of salvation. I am a follower of Christ. Please help me to grow now as a Christian.”

*

Yes

No

Please read these scriptures as you prepare to be baptized

Matthew 10:32; Matthew 28:18-19; Acts 2:38; Acts 22:16; 2 Corinthians 5:17

In a few sentences share your testimony of how Jesus has changed your life. **This will be read as you are baptized.** *

Who has been influential in your Spiritual Walk towards Jesus and how have they influenced you? *

I have accepted Jesus Christ as my Savior & Lord & I desire to follow Him all the days of my life. *

Clear

*Please use your mouse to sign your full name in the box.

If Minor (17 or under), have parent sign here and fill out fields with Mother's and Father's name.

Clear

*Please have parent type full name on line.

Mother's Name

First Last

Father's Name

First Last

Is there anything else you would like us to know?