09.07.17 | Care Ministries | by Alan Phillips Baptism Request Tell us about you: First Name* Last Name* E-mail address* Home address City State Zip Phone Number Birth Date Baptism Info How and When did you accept Christ as your Savior?* Why do you want to get baptized?* Is this a re-dedication? Have you been baptized before? Final Questions I am ready to schedule my baptism (we will contact you to confirm dates) No Yes I would like to speak with someone before I schedule my baptism No Yes Please leave this field blank.