Baptism Sign Up

Your name *

Last name

Email address *

Phone number *

Phone type

MobileHomeWorkOther

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Birthday *

T-shirt size *

Select…SMLXLXXL

Next baptism opportunity: *

Select…December 7, 2025January 4, 2026February 1, 2026March 1, 2026I would like to be baptized on a Thursday night with college ministry.Other

Which service would you prefer to be baptized at? Please note, times are not guaranteed. *

9:00 AM

10:45 AM

Other (College Ministry)

Tell us about your life before you decided to trust Christ. How did you come to the conclusion that you needed a personal relationship with Jesus? *

Describe what happened when you became a Christian. What was God doing in your life at that time? *

Since becoming a Christian, how is your life different? What aspect of your relationship with Jesus has made the most impact on you personally? *

Now, please write God's story on your life together into one paragraph. Think 3 sentences or 1/4 page typed in size 12 font. This is not your full story, just an overview. We will use this version for your recording. *

Do you have a specific person you would like to baptize you? *

Is this person a CCC staff member? *

Yes

No

If this person is NOT on staff at CCC, please provide their email and phone number.

You have my permission to share my story on the church website/social media – I would love to help point others to Christ this way.

Submit

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