Please feel free to use this form to contact us with additional questions and comments you may have. Complete the registration portion if you wish to be baptized by this ministry at the next available opportunity or request a Unidiversal certificate for a previous baptism.
Name
E-Mail Address
Street Address
CityStateZip Code
(if different from the street address)
Mailing Address
CityStateZip Code
Questions & Comments
COMPLETE THIS PORTION IF YOU ARE REGISTERING FOR UNIDIVERSAL BAPTISM AND CERTIFICATE
Enter your name exactly as you wish it to appear on your baptism certificate.
Do you believe that humanity has been separated from God and can only be reconciled by the love and sacrifice that Jesus made?
Do you believe that Jesus was crucified and resurrected to reconcile you to God?
Do you believe that the same faith you have in Jesus Christ for salvation is available to anyone who believes in Him for the same reconciliation to God?