Baptism Application - Brevard Community Church

How do I start the baptism process?
Complete this online form, and we will contact you from there!
If you have any questions, email info@brevardcommunity.org.

Name Name * First Middle Last
Email *
Phone Phone * - ### - ### ####
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Date of Birth Date of Birth * / MM / DD YYYY
T-Shirt Size
Have you accepted Jesus Christ as the forgiver of your sins? *
In light of the previous question, on what do you base your belief? *
Please explain how and when you accepted Jesus Christ as the forgiver of your sins. *
Have you been baptized since you accepted Jesus Christ as the forgiver of your sins? *

Have you been baptized since you accepted Jesus Christ as the forgiver of your sins? Yes No I need to speak with someone
Why do you want to get baptized? *
What was your life like before you accepted Jesus Christ as the forgiver of your sins? *
How has your life changed since you accepted Jesus Christ as the forgiver of your sins? *