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Added: 5/8/2026
Baptism Interest Form
Campus
Avon
West Bridgewater
Braintree
Norton
Online
Campus is required.
First Name
First Name cannot contain special characters such as quotes, parentheses, etc.
First Name cannot contain emojis or special fonts.
First Name is required.
Last Name
Last Name cannot contain special characters such as quotes, parentheses, etc.
Last Name cannot contain emojis or special fonts.
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Give your consent to receive SMS messages by simply checking the box.
Birthdate
Jan
Feb
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1901
1900
Birthdate cannot be a future date.
Gender
Male
Female
Gender is required.
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Do you believe the death, burial, and resurrection of Jesus accomplished everything necessary for the forgiveness of your sins?
Yes
No
Not sure
Do you believe the death, burial, and resurrection of Jesus accomplished everything necessary for the forgiveness of your sins? is required.
Have you asked God to forgive you for your sins?
Yes
No
Not sure
Have you asked God to forgive you for your sins? is required.
Are you willing to do whatever God asks you to do from now on?
Yes
No
Not sure
Are you willing to do whatever God asks you to do from now on? is required.
Romans 10:13 says, "For everyone who calls on the name of the Lord will be saved." In your own words, what do you understand Jesus did for you, and what decision did you make in response to that?
Romans 10:13 says, "For everyone who calls on the name of the Lord will be saved." In your own words, what do you understand Jesus did for you, and what decision did you make in response to that? is required.
At what service time would you like to be baptized?
At what service time would you like to be baptized? is required.
Please complete the captcha.