Baptism



Name as you would like it to appear on Baptism Certificate
Date of Birth
Street
City
 State
 Zip
Primary Phone
Secondary Phone
E-mail
Requested Baptism Date
Time
I would like to be baptized by

Not sure, please contact me
Authorization to Video Tape
Yes
No
Not sure, please contact me
Please share a brief statement in the space provided below about your relationship with Jesus and why you want to be baptized. Or, email your story to baptism@manchesterchristian.com THREE DAYS BEFORE YOUR BAPTISM.

*My Story Click Here for “How to Structure Your Story