Journey Christian Church

OLD Baptism Registration Form

Information

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Your interest in baptism is very exciting to us. It signifies that you have made a decision to commit your life to the leadership of Jesus Christ and that you have a relationship with him. Please fill out this registration completely and we will be in touch with you soon to guide you through this process.

Name *


First Name	Last Name

Age *

Select from list

Phone *

Phone Number

Address *


Address

Address Line 2

City	State	Zip Code

Email *

Email Address

Please check your email often, as this will be our primary means of correspondence prior to your baptism meeting.

Do you believe you're going to heaven? Why do you believe that? *

Please state briefly how and when you accepted Christ as your Savior. *

Why do you want to get baptized? Have you been baptized before (since your initial commitment to following Christ)? *

Please indicate your readiness. *

Select one

I am ready to schedule my baptism. (We will follow-up with you about dates for your baptism and your baptism video.)
I need to speak with somone before I am ready to schedule my baptism. Please contact me.

Internet Viewing Disclosure

The baptism videos have had an incredible impact on the Journey family but we wanted to have a way that your story can reach even more people. So we have created a YouTube page where our videos are uploaded for them to be viewed from anywhere. In addition they are posted to our Facebook page where many people frequently visit to know what is going on at Journey. Your story can have a greater impact that you can imagine when it is available online. We encourage you to allow your video to be publicly displayed but it is ultimately your decision if you are OK with this. Please indicate below whether or not you are OK with your story being uploaded to YouTube for others to see that may not have been able to be in our Sunday services.

Are you OK with your video being made public via YouTube? *

Select from list

* required