Membership Statement of Intent

This form is to be filled out by those who have completed Highland Park Fellowship’s membership process and wish to join as members of our church body.

Your name *

Email address *

Personal/Family Information

Please fill any details we do not currently have on file for you.

Birthdate

Marital status

Anniversary date

Membership Questions

Having completed our membership process, I now desire to join Highland Park Fellowship. *

Please type your signature below to confirm your intent.

I will be joining Highland Park Fellowship by/through: *

Choose one only

Professing my faith in Christ (I have never joined a church as a believer in Jesus Christ before).

Reaffirmation of my faith in Christ (I have previously joined a Protestant church, but my membership is not currently on record).

Transferring my church membership (I am currently a member in good standing of a Protestant church that will grant a transferred membership to Mosaic).*

An Associate Membership, keeping my primary membership at the following church.*

*If transferring membership or seeking an associate membership, please provide the name, address, email for the church you're transferring from. *

Please write N/A if this isn’t applicable to you.

Faith Journey

Have you been baptized? *

I've never been baptized and wish to do so in obedience to Christ's command.

I have been baptized.

Please briefly share the story of how you came to worship & follow Jesus. *

Please use this space to ask questions or share any additional information.