Please enable JavaScript in your browser to complete this form.Are you a baptizer or are you preparing to be baptized?Select ChoiceI am a BaptizerI am preparing for BaptismName *FirstLastEmail *Have you accepted Jesus Christ as your Lord and Savior? *--- Select Choice ---YesNoNot sureI Confirm *I Confirm that i am taking this course with the intention of becoming a baptizer. Therefore, i am not required to complete the Baptism Preparedness Form.Baptism Preparedness Formonly fill this field if you are preparing to be baptized. should clothes be Name *FirstMiddleLastPlease make sure to provide an accurate name that can be used on your certificate.Email *Phone (optional)Address *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryGender *malefemaleDate of Birth *Have you accepted Jesus Christ as your Lord and Savior? *--- Select Choice ---YesNoNot sureUpload your 2–3 minute video testimony If your video file is over 30MB, you may compress it for free before uploading by using websites like this MP4 compressor. Alternatively, you can upload the video to YouTube, Vimeo, Google Drive, or another platform, and paste the shareable link in the space provided below.Paste the video link here (use either the upload option above or this option not both)BAPTISM DETAILSPreferred Baptism Location: *--- Select Choice ---Church PoolHome (Bath Tub)Home (Pool)River (or Similar)Swimming PoolOthersOthers: Please describe below.Have you understood this course and are you both physically and emotionally ready to be baptized? *--- Select Choice ---YesNoWho will be the physical baptizer? He/she will support the online baptizer. *By entering the name of the baptizer, you confirm that he or she has also completed this baptism course.Who will assist the physical baptizer? Name at least 1 person. *Who will record the baptism (zoom video)? Name 1 person. *Please ensure that the phone used for recording has a stable internet connection, working speakers and microphone, and can connect to the Zoom meeting without issues.Note: Kindly consider offering transport assistance and refreshments to those helping with your baptism, as a gesture of appreciation.SAFETY CHECKDo you have any medical conditions we should be aware of (e.g., asthma, epilepsy, recent surgeries, etc.)? *--- Select Choice ---YesNoAre you comfortable with being immersed in water? *--- Select Choice ---YesNoWill you bring proper attire for baptism (e.g., modest swimwear or clothing)? *--- Select Choice ---YesNoWill you bring a towel and change of clothes packed? *--- Select Choice ---YesNoHave you simulated or visited the baptism site in advance to ensure it is safe? *--- Select Choice ---YesNoDECLARATION I hereby declare that all the information provided in this form is true and accurate to the best of my knowledge. I acknowledge that I have received adequate teaching on the meaning and importance of baptism, and I am spiritually, emotionally, and physically prepared to take this next step in obedience to God's Word. I confirm that: 1. I have personally accepted Jesus Christ as my Lord and Savior. 2. I have made the necessary safety and logistical preparations. 3. I am voluntarily presenting myself to be baptized in the name of the Father, the Son, and the Holy Spirit.Declaration *I DeclareHow did you hear about us? *Search Engine (Google, Yahoo etc.)Social Media (Facebook, X, Tiktok etc.)WhatsAppEmailSomeone referred meOthersSubmit