Work Entry

Northridge Church

Baptism Application

Tell us a little about yourself and your story. A member of the Baptism Team at your campus will follow up with next steps.

About the Person Being Baptized

Use the name and contact information for the person who wants to be baptized. If this is already filled in, please confirm it is current.

First Name

Last Name

Mobile Phone

Birthdate

/ /

Confirm your campus

Your T-shirt size

We will have this shirt ready for your baptism.

Is the person being baptized under 18?

What Community Group are you currently part of?

Start typing a group name or campus. Leave this blank if you are not currently part of a Community Group.

How long have you attended Northridge?

Have you watched the Salvation and Baptism video?

Based on Romans 6:23 and Romans 10:9, what does a person need to believe to be saved from sin and receive eternal life?

How and when did you personally place your faith in Jesus as your Savior and Leader?

Why do you want to be baptized?

Have you been baptized before? If yes, when?

Although everyone getting baptized is a sinner, our daily lives should reflect a desire to please and obey God. Is your daily lifestyle reflective of your desire to please and obey God?

Yes No I would like to talk with someone

If you have someone in mind, who would you like to baptize you?

In 2-3 brief sentences, please tell us about your life before Christ.

In 2-3 brief sentences, how did you come to trust Christ as your Savior?

In 2-3 brief sentences, tell us about your life after you trusted Christ.

Will you need an ASL interpreter?