Water Baptism Request

Please fil out one form per candidate. Applicants must attend at Grace Harvest Church for a minimum of 2 months, and be approved for baptism by a Pastor.

Your name *

Email address *

Phone Number *

Address

Are you under the age of 18?

Yes

If Yes, would your parents object to this choice?

Yes

How long have you attended Grace Harvest Church? *

What Service would you prefer to be baptized in?

1st Service

2nd Service

Additional Personal Information

Required for your baptism Certificate

Birthday *

City and state of birth *

Your full name *

First, middle, last

Mother's full name *

First, middle, last

Father's full name *

First, middle, last

There will be a short baptism class the morning of your baptism. The class is required to complete the baptism process. You can pick up your Certificate of Baptism at the Connection Desk after service.

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