Admit that you are a sinner
and that you are willing to turn away from sin.

Repent, then, and turn to God, so that your sins may be wiped out, that times of refreshing may come from the Lord. - Acts 3:19

Believe that Jesus died for your sins
and rose again from the dead

That if you confess with your mouth, "Jesus is Lord," and believe in your heart that God raised him from the dead, you will be saved. - Romans 10:9

Confess verbally and publicly
your belief in Jesus Christ

The same Lord is Lord of all and richly blesses all who call on him, for, "Everyone who calls on the name of the Lord will be saved." - Romans 10:11

"God, I now admit that I am a sinner.  I believe that You sent Jesus, who died on the cross and rose from the dead, paying the penalty for my sins.  I am asking that you forgive me of my sin and I receive Your gift of eternal life.  It is in Jesus' name that I ask for this gift.  Amen."