Central Wesleyan Church | Baptism Registration

First & Last Name

Address

Phone Number

Email

Age

Because of its symbolism, baptism requires a more adult level of cognitive and developmental readiness. Central requires that children have at least completed 5th grade.

How long have you attended Central?

less than 12 months
1-2 years
3-5 years
more than 5 years

Who most influenced you to first attend Central?

family member
friend
co-worker
media
other

How would you describe yourself spiritually when you first started attending Central?

Unbeliever (not interested in spiritual things)
Spectator (sitting back and watching in observation mode)
Seeker (actively interested in and exploring the spiritual side of life)
Believer (made a personal commitment to Jesus Christ)
Unbeliever (not interested in spiritual things)
Fully devoted follower (made a personal commitment to Jesus Christ and diligently pursuing spiritual growth, using spiritual gifts, giving time and resources, etc.)

Approximately how long ago did you receive Jesus Christ as the one and only forgiver and leader of your life?

less than 12 months
1-2 years
3-5 years
more than 5 years

Who, besides the work of the Holy Spirit, most influenced you to become a believer?

family member
friend
small group
church service
co-worker
other

Which ministry at Central are you most affiliated with?

Is there a current ministry at Central that you would like to become more involved in?

Is there a specific pastor at Central you would prefer to baptize you? If so, who?

In which service would you like to be baptized?

April 8, 9:15 a.m.
April 8, 11 a.m.
August 12 evening

What has mainly motivated you to get baptized at this time?

Pastoral Teaching
Church Announcement
Small Group
Membership Process
Other

Were you baptized as an infant?

Yes
No

Do you have any special needs or disabilities that we should be aware of? If yes, please explain.

Briefly describe your life by including three elements in a story: What was your life like before you decided to trust Christ? How and when did you decide to trust Christ alone for your salvation? How has that decision made a difference in your life? (Please limit to 3 paragraphs.) All testimonies will be published in a booklet that is shared with our church fellowship.

Your Testimony (story)*

Please plan to attend an informational meeting before the baptism service.

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