Baptism Form
If you confess with your mouth Jesus as Lord, and believe in your heart that God raised Him from the dead, you will be saved. Romans 10:9
Once the baptism is approved, you will receive an email and/or phone call to confirm.
Please fill out this form and click submit.
Full Name
*
Phone
*
Email
This address will receive a confirmation email
If Child: Age:
If Child: Father's Name
If Child: Mother's Name
Date Preferred (Please note: forms filled out on Fridays or Saturdays aren't processed until the following Monday.)
*
Which Service?
*
Please select one option.
Sunday 9am
Sunday 11am
Sunday 6pm
Wednesday 7pm
Other Day, fill out below in Other Day/Time
Other Day/Time:
Which Pastor would you like to do the baptism?
*
Please select one option.
Pastor Doug
Pastor Isaiah
Pastor Jacob
Other (please list below)
Select Option
Pastor Doug
Pastor Isaiah
Pastor Jacob
Other (please list below)
Other:
Do you have any questions about baptism?
*
Have you confessed Jesus as Lord of your life?
*
Please select all that apply.
Yes
No
Do you believe God raised Him from the dead?
*
Please select all that apply.
Yes
No
Special Information (i.e. medical conditions, etc.)
T-Shirt Size
Please select all that apply.
Child Small
Child Medium
Child Large
Adult Medium
Adult Large
Adult XL
Adult XXL
Baptism Broadcast Permission: I understand that the baptism service may be recorded, live streamed, or posted online by Calvary Chapel of Cheyenne. Please select one:
*
Please select one option.
I give permission for my (or my child's) baptism and name to be included in the church service recording, live stream, or online posting.
I do not give permission for my (or my child's) baptism or name to be included in the recording, live stream or online posting. I understand that the 6pm Sunday service is the onlyly service not live streamed, so I choose that a service.
Please sign and date here:
*
Submit
Description
If you confess with your mouth Jesus as Lord, and believe in your heart that God raised Him from the dead, you will be saved. Romans 10:9
Once the baptism is approved, you will receive an email and/or phone call to confirm.
Please fill out this form and click submit.
×
Please Fix the Following