LWM Water Baptism Form

First Name
Middle Name
Last Name
Address 1
Address 2
City
State
Zip Code
Phone Number
E-mail
Gender
  • Male
  • Female
Date of Birth
Child(s) Name(s) (Children must be at least age 7 and up to be baptized.)
Can you give testimony with your children reguarding their salvation? Yes
Have you received salvation? Yes

Have you attended our Membership Class and are active members of Living Word Ministries? (Click here to see the six requirements for membership)

Yes