Water Baptism | April 26th / April 27th

Rose District Campus | Saturday, October 4th, 2025

South Campus | Sunday, October 5th, 2025

Preferred Campus and Service Time*

Baptism Candidate's Name*

First NameLast Name

Birthday*

Date

Gender

MaleFemale

Parent/Guardian Name*

First NameLast Name

Cell Phone*

Area CodePhone Number

Email**

Address (for mailing of baptism letter/certificate)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Comments/Questions?

The Assembly will provide free t-shirts for all participants. You will be asked to wear these shirts for the baptism service. Please select a size.Tip: When in doubt, choose a larger shirt.*

Tell us your story.What is God doing in your life? What's the journey God has taken you on that is leading you to baptism?*

Photo/Video ReleasePhoto ReleaseI grant to The Assembly the right to make photo, video, and audio recordings (collectively, “Recordings”) of me and the perpetual, world-wide right to record, re-record, copy, edit, reproduce, publicly display, perform and distribute the Recordings in any way consistent with The Assembly's ministry, including use on the Internet. I waive the right to inspect or approve the finished product wherein the Recordings appear.*

Yes, I agree.No, I do not agree.