CityLife Church Melbourne Australia

Please complete the following information, which will be used to enable us to process your baptism application and issue a certificate.

Where would you like to get baptised? *

Baptism Service Time *

Parent Details

Parent's First Name *

Parent's Last Name *

Day-time Contact Number *

Email Address *

Child's Details

First Name *

Last Name *

Date of Birth

Age *

Gender

Postal Address

City/Suburb

Postcode *

How long have you been a Christian (ie, having accepted Jesus Christ as your Saviour)? *

Years

Months

Have you ever been baptised by immersion before? *

Do you attend CityLife Church? *

Where do you regularly attend CityLife Church? *

Are you a member of a Life Group? *

In your own words, please state why you desire to be baptised by immersion: *

By submitting this form I hereby consent and agree for me and/or my child(ren) to be filmed by the CityLife Church media team and for my and/or my child(ren)'s image and likeness to be shown in video promotions on the screens at CityLife Church and the CityLife Church website. I understand I will receive no compensation for this filming and the footage may be used in perpetuity.
Privacy Statement: Our complete Privacy Policy is available at https://www.citylife.church/privacy.

I consent to the statement above.*

Water Baptism Application

Parent Details

Child's Details