Whereas I have realized the hideousness of my own sins and my powerlessness to undo them, and:

Whereas I do hereby acknowledge that Christ paid the penalty for my sin:

I do hereby ask him to wipe my slate clean of all wrongdoing.

In return, I promise to make a U - turn in my life. Before, I looked the other way from Him and hoped He looked the other way from me. Now, I will look at Christ as an example in all that I do, and He will be the Lord of my life.

To this I set my hand this ________ day of ________ in the year of our lord, ________.

Signed:____________________.

On this day, I have begun a new life in Christ.