Bethel LV Baptism Form

Person being baptized *

Gender *

gender.male

gender.female

Please provide your T-Shirt Size *

Birthdate *

Mobile Phone *

Email *

Is the person is a minor *

Yes

How did you hear about us? *

Are you a current Bethel Partner? *

Yes

Any special prayer requests?

Anything else you'd like to share? Please provide any feedback, special accommodations or comments below.

Please upload a picture of the person being baptized. (optional)

Do you grant permission for photos of the baptism to be used for church publications or social media? *

Yes

By signing below, you authorize and agree to participating in the baptism ceremony at Bethel Empowerment Church Las Vegas (Bethel LV). You also authorize a Bethel LV team member to reach out to you regarding next steps. *common.clear

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Bethel LV Baptism Form