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BAPTISM WORKSHEET
(Please return your completed Baptism Worksheet along with your Study Guide to the church office or the Information Desk)
BAPTISM PROCESS CHECKLIST: All materials listed below are included in the Baptism Packet. Digital copies are available at harvestdavenport.org/baptism 1. I have read and understand The Story and the Steps to Peace with God booklets 2. I have completed the Baptism Study Guide: A Look at Baptism (return your completed Study Guide to Harvest) 3. I have completed the Baptism Worksheet (return your completed worksheet to Harvest) 4. I have read the Baptism Preparation Guidelines
PERSONAL INFORMATION: Full Name ___________________________________________________________________ Birthdate _____ / _____ / ___________ (provide the name you prefer for slides/handouts)
MM
DD
YYYY
Address _____________________________________________________________________________________________________ street
city
state
zip
Home Phone (_____) ___________________ Cell Phone (_____) ___________________ Work Phone (_____) ___________________ Email _______________________________________________________________________________________________________ Marital Status:
Married
Divorced
Living w/ Significant Other
Single
Widowed
Children’s Names/Ages (if applicable) _____________________________________________________________________________ Age Group: (for students only)
4th–5th Grade
6th–8th Grade
9th–12th Grade
Parent’s Name(s) (for students only) _____________________________________________ Parent’s Phone (____) ______________ During which service do you prefer to be baptized? (please indicate preference #1 and #2, and we will do our best to place you) Saturday 5:30pm What’s your shirt size?
Sunday 9:00am Youth M
Youth L
Sunday 11:00am S
M
L
XL
2XL
3XL
4XL
How long have you been attending Harvest? ______________________________________________________________________ Do you have a preference of pastor for your baptism? If yes, please indicate: ______________________________________________ How has attending Harvest impacted your life? ____________________________________________________________________ ____________________________________________________________________________________________________________ Have you been baptized before? If yes, briefly describe: ______________________________________________________________ ____________________________________________________________________________________________________________ Why do you want to be baptized? _______________________________________________________________________________ ____________________________________________________________________________________________________________
(563) 359-5333 • HARVESTDAVENPORT.ORG
Page 1 | Form continues on page 2 with your Personal Testimony ver. 12.07.2018
BAPTISM WORKSHEET
(Please return your completed Baptism Worksheet along with your Study Guide to the church office or the Information Desk)
PERSONAL TESTIMONY: Use this sheet (along with the Baptism Preparation Guidelines) to write your testimony. This will help you articulate your salvation and express it in biblical terms. 1. BEFORE I received Christ, I lived and thought this way…
• Did you realize that you were separated from God at that point in your life (Is 59:2)? Yes No • Did you realize you were destined for hell because of your sin and sinfulness (Jn 3:18; Mt 13:41-42)?
Yes
No
2. HOW I received Christ…
• Do you believe that Jesus died for your sins, taking your place and punishment (Jn 3:16)? • Did you repent of your sins, asking God to forgive them (1 Jn 1:9)? Yes No
Yes
No
3. NOW, with Christ in my life, I live and think this way…
• Is the fruit of the Spirit showing through in your life more and more (Gal 5:22-24)?
Yes
No
Name (please print) _______________________________________________________________ Date _____ / _____ / ___________ MM
DD
YYYY
Signature ___________________________________________________________________________________________________
(563) 359-5333 • HARVESTDAVENPORT.ORG
Page 2 ver. 12.07.2018