HC Baptism Registration

1
Registrant Name* This field is required.
2
Individual seeking baptism is* This field is required.As a general rule, the minimum age required for baptism is 12 y/o. Exceptions can be made with the discretionary follow up of pastoral staff, and a demonstration of a true understanding of faith and baptism can be given by the child.
a Minor
an Adult
3
Registrant D.O.B.* This field is required.Select Month, Year, then Day
Date
Month
Day
Year
4
Parent Name (If Minor)
5
Parental Consent for Baptism of Minor
Clear
6
Have you received Jesus as your personal Lord and Savior?* This field is required.
Yes
No
7
Give a brief testimony of your salvation experience.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
8
Date of baptism service you wish to register for* This field is required.Pease enter "03-29-2026" in this field
Date
Month
Day
Year
9
Which gathering will you be baptized in on Mar 29th?* This field is required.NOTE: A mandatory "Baptism Basics" class will be held on Sunday March 15th at 9:30a. The class will meet in the church lobby.
8a
9:30a
11:30a
10
T-Shirt Size
Please Select
Please Select
YS
YM
YL
YXL
S
A
M
L
XL
XXL
11
Address* This field is required.
12
City, State, Zip* This field is required.
13
Phone Number* This field is required.Type 10 digits, no characters
14
E-mail* This field is required.
example@example.com
15
How long have you attended Harbor Church?* This field is required.
16
Additional family/friends attending baptism service(approximate, if known)
Please Select
Please Select
0
1
2
3
4
5
6
7
8
9
10
10+
17
Additional Notes or Questions
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: