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Men
Baptism Registration
August 17, 6 p.m.
First & Last Name
*
Address
*
City, State, Zip
*
Phone Number
*
Email Address
Age (Because of its symbolism, baptism requires a more adult level of cognitive and developmental readiness. Central requires that children be at least 12 years of age.) *
*
How long have you attended Central?
*
\n
less than 12 months
1-2 years
3-5 years
more than 5 years
Who most influenced you to first attend Central?
*
f
amily member
f
riend
c
o-worker
m
edia
o
ther
How would you describe yourself spiritually when you first started attending Central?
*
U
nbeliever (not interested in spiritual things)
S
pectator (sitting back and watching in observation mode)
S
eeker (actively interested in and exploring the spiritual side of life)
B
eliever (made a personal commitment to Jesus Christ)
F
ully 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?
*
\n
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?
*
\n
family member
friend
small group
church service
co-worker
other
Are you currently in a small group?
*
y
es
n
o
Which ministry at Central are you most affiliated with?
What has mainly motivated you to get baptized at this time?
*
\n
Pastoral Teaching
Church Announcement
Small Group
Membership Process
Other
Who would you like to baptize you? Please be understanding that we can not guarantee your choice.
Which service would you like to be baptized in?
9
:15 a.m.
1
0:50 a.m.
Were you baptized as an infant?
*
\n
yes
no
Do you have any special needs or disabilities that we should be aware of? If yes, please explain.
Your Testimony (story)
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)
*
Please plan to attend an informational meeting in August.
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