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Request for Baptism
Name
*
First Name
*
Last Name
*
Age
12 or under
13-18
18+
Daytime Phone
*
Email
*
Have you read the StAAC baptism information on the website?
Yes
No
Do you have any questions regarding the baptism information?
Do you have a preferred pastor to perform your baptism? If so, which pastor?
Pastor Jeremy
Pastor Mike
Pastor Lisa
Pastor Bob
Pastor Dan
Pastor Pam
Pastor Wes
No Preference
Other:
Other Value
Please briefly talk about your journey to faith and why you desire to be baptised
*
Characters remaining:
250/250
Which service do you prefer to be baptized in?
*
9:00AM
11:00AM
No preference
We can not guarantee you will be able to be baptized in the service you requested- however we will do all we can to accommodate your request)
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