Water Baptism Sign-Up

Please fill out this form and click submit; Someone will follow up with you.

If you are filling this out for your child, please make sure they understand the symbolism behind water baptism.

Please select which service you'd like to be baptized at:

*

Please select one option.

9AM Sunday Service 11AM Sunday Service

Name

*

Phone

Email

*

This address will receive a confirmation email

Birth Date

*

What has led you to want to be baptized at this time?

*

How long have you attended Access?

*

Have you been baptized before?

*

Please select one option.

Yes No As a child

T-Shirt Size

*

Please select one option.

S M L XL YS YM YL

Description

Please fill out this form and click submit; Someone will follow up with you.

If you are filling this out for your child, please make sure they understand the symbolism behind water baptism.

Please Fix the Following

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