My Grace

| Grow | Reach | Act | Connect | Exalt |

Baptism Registration/Information Sheet

Please complete (information is used to prepare baptism certificate)

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Birthdate:
*Do you attend Grace Church?:
If so how long? :
If not, do you attend another church?:
*Have you completed the Discover Grace Classes (101,102,103,104)?:
*Are you in a Small Group?:
*Have you accepted Jesus as your Lord and Savior?:
*Have you watched the Baptism Orientation video? (If no, please watch the video online at www.gracestl.org/baptism prior to completing this form and registering for Baptism).
*Do you have special needs requiring you to be baptized by sprinkling instead of immersion? :
Do you have any special requests?:
For your convenience and modesty, Grace provides a pair of drawstring scrub-style shorts and a thick, boxy t-shirt for you to get baptized in. We want to make sure we have the correct sizes available for you when you show up for baptism. If you're unsure about your sizes below, we recommend sizing up. As a bonus, you'll get to keep the shirt!
*What size t-shirt do you wear?:
*What size unisex drawstring shorts do you wear?:
We would love to hear why you have decided to be baptized. Please share your story by email (testimony@gracestl.org) or below::
Office Use Only - Baptizer Name - Baptism Date