Youth Salvation Response Form

Have you recently committed or recommitted your life to serving Jesus?
If yes, we would love to partner with you on the journey. Please fill out this form and someone on our team will connect with you soon.

Your name *

Email address *

Phone number

Address

Birthdate

Gender

I commit to serving the Lord and pursuing His plans for my life.

Is this your first time making this decision?

Yes, this is my first time allowing Jesus into my life.

No, I was previously saved and walk away from my faith, but am giving my life back to Jesus.

Did a leader pray with you and walk you through this decision?

Would you like to make the next step and make your faith public by getting Water Baptized?

We believe that after accepting Jesus into your hear that the next step is to make your faith public by getting water baptized.

Is there anything you would like to receive prayer for or anything else you would like to share with us?

Would you be open to sharing your testimony or story in a Youth Service?

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