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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