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Baptism Application
We are excited that you are taking this next step in your walk with Christ. Please fill out the details below.
Your name
*
Last name
Email address
*
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Phone number
*
Phone type
Mobile
Home
Work
Other
Birthdate
*
Date
Primary Campus
*
Select…
Aurora
Crystal Lake
Elgin
Highland Park
Rolling Meadows
Gender
*
Select…
Male
Female
Are you in a growth group?
*
Yes
No
Are you interested in membership at Harvest?
Membership means making a commitment to the body of believers in the local church.
Yes
No
Testimony
Baptism provides an opportunity for you to tell your salvation story, and become a witness to others about the power of God to save. In the fields below tell us how you came to know Christ.
Before I accepted Christ, my life was...
*
How and when I accepted Christ as my personal Savior was...
*
One or two ways Christ has changed my life is...
*
I want to be baptized because...
*
If you desire to baptized with another person or family member, please provide their name(s)
Do you have any needs that would require special assistance if you are baptized?
Submit
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