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Adult Baptism Class on Sunday, June 29, 2025 @ 12:30 PM

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*Name exactly as you would like it to appear on the baptism certificate:
*Gender:
*Marital Status:
*Date of birth:
If the phone number above is your home phone, please list your Cell Phone here:
*Have you come to a point in your life where you know you have a relationship with God, by grace through faith in Jesus Christ (Ephesians 2:8-9)? 
*Please give a brief description of your story of how you have trusted in Jesus Christ.
*Some people depend on their good works to establish their relationship with God (loving your neighbor, going to church, keeping the commandments, etc.). Some are depending on Christ plus their good works, and some are depending on Christ alone. Which of the following choices reflects your understanding of a relationship with God?
*Why do you want to be baptized?

STONEBRIAR COMMUNITY CHURCH

Adult Photo Release Form for On-line Use / Electronic Acceptance

I hereby grant Stonebriar Community Church, its successors, assigns and licensees (collectively, the “Church”), permission to use, reproduce, publish, broadcast, stream, and exhibit in any medium, my portrait, photograph, image, voice, works of authorship, writings and statements in any form (collectively, the “Product”) which are created, captured or developed by or for the Church in connection with my participation in Church events or activities. 

I irrevocably authorize the Church to edit, alter, copy, exhibit, publish or distribute the Product in all forms and media or technology now known or hereafter developed and in all manners for advertising, publicity, commercial, promotion, trade, or other lawful purpose. I waive the right to inspect or approve the finished Product. I waive any right to royalties or other compensation related to the use of the Product.

I hereby hold harmless and fully release the Church, its agents, volunteers, licensees, employees, and representatives from all claims, demands, and causes of action that I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate, have or may have due to this authorization or the Church’s use of the Product as permitted herein.

I am 18 years of age or older and am competent to contract in my own name. I read this agreement and release before signing and I fully understand its contents.

v.10.13.2018

By my electronic signature provided below, I certify that I have read, understand and agreed to comply with the above statements and agreements.
*Electronic Signature:
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