Water Baptism
* First Name
* Last Name
* Birth Date
* Parent/Guardian Name: Please list if under 18 years old. Otherwise, state N/A
* Address
* Email
* Mobile Phone
* Marital Status
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Single
Married
Divorced
Separated
Widowed
Child/Youth
* If single, are you co-habiting outside of marriage?
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Yes
No
* Date and Place Born Again: Describe your salvation experience (how you came to meet Christ)
* Have you ever been baptized before as a believer?
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Yes
No
* Has any church ever denied water baptism to you?
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Yes
No
* Have you been in regular weekly attendance at Grace and Peace for at least 3 months?
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Yes
No
* T-Shirt Size
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Youth Medium
Youth Large
Small
Medium
Large
X-Large
XX-Large
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