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Baptism Application

 Baptism is a public celebration of the miracle of moving from death to life through faith in Jesus Christ. If you are sure about your eternal life with Christ and want to be baptized, please complete the Application for Baptism. Our next baptism celebration will be in the next few months and we'll contact you once a date has been finalized. If you have any questions you can email ruben@thevinerc.com. 

    • Name *


    • Email *

    • Confirm Email *

    • Primary Phone *



    • Alternate Phone



    • Address *







    • Birthdate *

    • Gender *
      Male
      Female
    • Please state briefly how and when you placed your faith in Christ as Savior and began to follow Him with your life.

    • Do you believe you are going to heaven? Why do you believe that?

    • Why do you want to get baptized? Have you been baptized before? Please explain.

    • Baptism is a public declaration symbolizing death to our old way of life and an entering into the new life we have received in Christ. Though not perfect, does your life today reflect the change Christ has made in you?

    • Please select one:
      I am ready to schedule my baptism.
      I need to speak with someone before I am ready to schedule my baptism.

NOTE: Do Not Alter These Fields: