Baptism Application - Teen & Adult

Once we receive your application, you will receive a follow up email/call with next steps.

Your name *

Email address *

Phone number

Address

Gender

Birthdate

Marital status

T-shirt size *

Have you publicly accepted Jesus Christ as your personal Savior? *

Have you been baptized by immersion in water since your decision to receive Christ? *

Do you agree to submit to the Word of God and its administration by the leaders of Urbana Grace Church? *

Who will be your testimony reader? *

Please attach a copy of your testimony

Please include the following in your testimony:
- Your life before Jesus
- How you heard the gospel of Jesus
- When you received Jesus
- How your life has changed because of Jesus

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