This is Your story.

Baptism is an important step in every Believer’s life; declaring to the World, “I belong to Jesus and I choose to follow him”. Tell us about your journey to Christ.

Child's Name

First Name

Last Name

When and how did you give your heart to Jesus?

Why would you like to be baptized?

What do you want your friends or other people to know about Jesus?

Do you have a favorite Bible verse, Bible story, or song?

Father's Name

First Name

Last Name

Mother's Name

First Name

Last Name

Parent's Email

Parent's Phone

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Parent Online Signature

I have read my child's testimony and give my permission for them to be Baptized at JCNaz.

This is Your story.

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Sundays 9:00 & 10:45 am