Name * First Name Last Name Email * Phone * (###) ### #### Address Birthday MM DD YYYY How long have you been attending Gateway? * When did you give your heart to Jesus Christ? Have you been baptized by full immersion before? Yes No If so, where? Which service do you usually attend 9A 11A Do you have any physical restrictions? * Have you participated in any of the following in the last 3 months? * Water baptism symbolizes the forgiveness and cleansing of all our sins through our dedication to Christ. In the act of repentance, our pledge should be to sin no more, and water baptism is the celebration of that commitment. Same sex relationships/practices Living with significant other that you are not married to Adulterous behavior or sexual activity outside of marriage Use of narcotics, hallucinogens, drugs or tobacco products not prescribed by a physician in the last 3 months None of these apply to me I’d like to speak to someone regarding one or more of the topics Thank you! resurrection looks good on you
