* First Name
* Last Name
* Birth Date
* Parent/Guardian Name: Please list if under 18 years old. Otherwise, state N/A
* Mobile Phone
* Marital Status
* If single, are you co-habiting outside of marriage?
* Date and Place Born Again: Describe your salvation experience (how you came to meet Christ)
* Have you ever been baptized before as a believer?
* Has any church ever denied water baptism to you?
* Have you been in regular weekly attendance at Grace and Peace for at least 13 months?
* T-Shirt Size
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