Baptism Signup Form
We are excited that you are ready to take the next steps in your relationship with Christ through Baptism! Please fill out the form completely for each person that is ready for Baptism and a staff pastor will be contacting you about your next steps!
* First Name
* Last Name
* Birth Date
* What school do you attend?
* How long have you been attending Central Baptist Church?
* Email
* Mobile Phone
* Campus Attending
Select one
Central Campus
Paragould Campus
* Tell us Your Salvation Story
Other Information
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