Discover Highlands Online Name (first and last)Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell PhoneBirthdate Name of Previous Church You Were A MemberCityStateDo you believe that you have a relationship with Jesus, and that your sins are forgiven and you now have eternal life?YesNoAlthough 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?YesNoI have read and agree with the Highlands Community Church Statement of FaithYesNoI have read and agree with Highlands Community Church Structure and Beliefs, Purpose and Values, and vision.YesNoI desire to apply for membership in Highlands Community Church. Please indicate Yes or No:YesNoCommentsThis field is for validation purposes and should be left unchanged.