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Adult Baptism
Note: Because the symbolism of baptism requires a more adult level of cognitive and development readiness, we require that children be at least 12 years old to be baptized.
First Name (*)
Required field
Last Name (*)
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Address (*)
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City (*)
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State (*)
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Required field
Zip Code (*)
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Home Phone
Invalid Input: Home Phone
Mobile Phone
Invalid Input: Mobile Phone
Email (*)
Invalid Input: Email
Date of Birth (mm/dd/yyyy) (*)
Required field
Parent’s Name(s) (if 17 or younger)
Invalid Input: Parent Names
Spouse's Name (if applicable)
Invalid Input
How long have you been attending Shoal Creek? (*)
Required field
Is there a Shoal Creeker in your life now that has helped you understand Jesus and influenced you to become a follower of Christ? (*)
Yes
No
Required field
If yes, enter their name, phone number and email address
Invalid Input
Are you currently participating in a group at Shoal Creek? (*)
Yes
No
Required field
If yes, enter the leader's name, phone number and email address.
Invalid Input
Are you currently serving on a team at Shoal Creek? (*)
Yes
No
Required field
If yes, enter the leader's name, phone number and email address.
Invalid Input