Lakewood Baptist Church - NY

Baptism Information Request Form

Please fill out this form if you are considering being baptized and would like more information on our next baptism class.

Date Input

First Name

Last Name

Email

Phone Number

Age

Please check all that apply:

I am a born again believer in Christ.

I was baptized as an infant.

I was baptized before, but I'm not sure it's valid

I've never been baptized before.