Baptism Interest Form

We're so excited to connect with you about following Jesus and being baptized. Please complete this registration. We will reach out to you in the next week to discuss this request, answer any questions you may have, and schedule the baptism.

Children and Teens
If you are elementary through high school age, please ask your parent to help with this registration.

Your name *

Email address *

Phone number *

Address *

Primary campus *

Please select an option below: *

Who would you like to baptize you? *

Ex: pastor, friend, family member, mentor, etc.

If you are filling this out for a child or youth, please put their name & age below:

Which date would you like to be baptized? *

Please call the church at 402-571-2038 if it's less than 24 hour notice.

Comments & Questions:

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