Grace Baptism Form

WOW! Your new beginning starts TODAY! "We envision winning the lost at any cost while empowering souls to transition from sin to salvation!" You have made a great choice today and we pray you continue to live an overcoming life with our Lord and Savior Jesus Christ. Please complete the form below in its entirety, so we may keep in contact and continue to celebrate all that God is doing in your life.

Date of Baptism

First Name *

Preferred Name

Middle Name or Initial

Last Name *

Suffix

Date of Birth

Gender *

Email Address *

Mobile Number *

Home Address

Home Address Line 2

Home Country

Home City

Home State

Home Zip Code

Today, I was... *

Baptized in Jesus Name

Filled with the precious gift of the Holy Ghost

Are you a first-time visitor? *

Yes, this is my first time at the Grace Place!

No, I have visited previously and needed more of God!

Member of Grace Apostolic Church

How do you need God to bless you as you continue your walk with Christ?