Harvest Baptism Application

Personal Information

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Marital Status

Who is this application for?

Myself

My child

Have you been baptized before?

Yes

No

When and where were you baptized?

Why do you want to be baptized again?

Why would you like to have your child baptized?

What is the Gospel?

When and how did you become a follower of Jesus?

When are you hoping for the baptism take place?

Who would you like to baptize you?

Who would you like to baptize your child?

Signature

Date