Baptism Registration Form

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?

Please select one option





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This page was last updated on: February 27, 2011
YesNo
YesNo
YesNo
I would like to be baptized by Unidiversal Ministries at the next available opportunity
I have already been baptized and would like to receive a Unidiversal Baptism Certificate to display.