Name *

First Name

Last Name

Phone *

(###)

###

####

Birthday *

MM

DD

YYYY

How long have you been attending Free City? *

0-3 months

3-6 months

6-12 months

1+ year(s)

How comfortable are you in your understanding about the purpose of baptism? *

I haven't thought much about baptism, but I'm curious.

I feel like I want/need to be baptized, but don't really know why.

I clearly understand the biblical purpose of baptism.