Discover Highlands Online Name (first and last) Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone Cell Phone Birthdate Name of Previous Church You Were A Member City State Do you believe that you have a relationship with Jesus, and that your sins are forgiven and you now have eternal life? Yes No Although baptism is not required for membership at Highlands, it is a symbol of our identification with Christ's death, burial, and resurrection and therefore is an important step for every believer. Have you been baptized since you began your personal relationship with Jesus Christ? Yes No I have read and agree with the Highlands Community Church Statement of Faith Yes No I have read and agree with Highlands Community Church Structure and Beliefs, Purpose and Values, and vision. Yes No I desire to apply for membership in Highlands Community Church. Please indicate Yes or No: Yes No Name This field is for validation purposes and should be left unchanged.