Baptism Request

Please provide all requested information below for the person who wishes to be baptized.
Once we receive your request, we will contact you to set up an appointment with one of our Pastors.

Your name *

Email address *

Are you requesting baptism for yourself? *

Yes

Phone number *

Address *

Birthday *

Gender *

When did you commit your life to Christ? *

Briefly share with us why you would like to be baptized. *

Is there a specific Pastor you prefer to perform the baptism? *

We will do our best to meet requests, but the selected Pastor is not guaranteed.

On-stage baptisms include a testimony video. We often share these videos on social media as well. *

I give my permission for Harvest Church to post my baptism video on their social media pages.

I do not give my permission for Harvest Church to post my baptism video on their social media pages.

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