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First name
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Last name
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Have you placed your faith in Jesus Christ, and in Him alone, for salvation, and now actively follow Him?
"Yes"
"No"
Approximate Date of Salvation
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Day
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Give us your brief testimony.
If the baptism candidate is a minor the parent(s)/legal guardian must approve and be present. Is the candidate a minor?
"Yes"
"No"
Are you willing to meet with the pastor or ministry team member prior to baptism? (Parent/Legal Guardian too if a minor)
"Yes"
"No"
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