Water Baptism Application - CityLife Church Melbourne Australia

Water Baptism Application

Please complete the following information, which will be used to enable us to process your baptism application and issue a certificate.

Where would you like to get baptised? *

Date of Baptism *

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Title

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First Name *

Last Name *

Date of Birth

Age

Gender

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Marital Status

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Postal Address

City/Suburb

Postcode

Day-time Contact Number *

Other Contact Number

Email Address

Please answer the following:

How long have you been a Christian (ie, having accepted Jesus Christ as your Saviour)?

Years

Months

Have you ever been baptised by immersion before?

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Do you attend CityLife Church?

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Where do you regularly attend CityLife Church?

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Do you attend a Life Group?

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Please share a brief testimony that led you to your decision to be baptised by immersion: *

Would you like to nominate your LifeGroup leader to baptise you?(Subject to approval)

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By submitting this form I hereby consent and agree for me and/or my child(ren) to be filmed by the CityLife Church media team and for my and/or my child(ren)'s image and likeness to be shown in video promotions on the screens at CityLife Church and the CityLife Church website. I understand I will receive no compensation for this filming and the footage may be used in perpetuity.
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