You’re offline Browsing a saved copy — forms, booking, shop, and payments need a connection.

Loading card…

Welcome to HCMI

Welcome to Harvest Christian Ministries International. Please complete your profile below. Confidential information used solely by the Information Systems Department, which prohibits unauthorized release.

Company website

Step 1
Family information
Emergency contact & release

1 of 3

Please check all that apply *

Salvation Rededication Baptism Prayer New Member Current Member Visitor

Marital status *

Married Single Divorced Under 18 years

Personal information

Title

Full name *

Suffix

Date of birth *

Address *

Street address

Apartment, suite, etc. (optional)

City

Country

Select country

State / province

Select state / province

Zipcode

Cell phone *

Home phone

Occupation

Special prayer requests

Email address *

How did you hear of HCMI? *

Person Media Advertisement Other

Referrer's Name *

Media Name *

Spouse name

Spouse mobile phone

Spouse email

Spouse occupation

Is your spouse joining?

Joining Not joining

Spouse date of birth

Do you have children? *

Yes No

Visiting with others? *

Yes No

Child #1 Name

Child #1 Gender

Male Female

Child #1 date of birth

Child #2 Name

Child #2 Gender

Male Female

Child #2 date of birth

Child #3 Name

Child #3 gender

Male Female

Child #3 date of birth

Additional children (name, gender, date of birth)

Emergency contact name

Emergency contact phone

Medical alerts

AUTHORIZED RELEASE STATEMENT — Please read carefully, print your name, sign and date. I, ____________________, hereby release Harvest Christian Ministries International, or anyone connected therewith (including Pastors David & Carole Nelson, HCMI crusade team, staff members or volunteers) in whole or in part, from any/all liability connected with any prayer, laying on of hands (i.e., fainting, blacking out and/or falling) and ministry I have received. Furthermore, I understand that I will receive any prayer and/or ministry strictly on a voluntary basis.

Printed name for release *

Signature (type your full name) *

Type your full name as your electronic signature after reading the release statement above.

Date signed *

I confirm that the information I submitted is accurate.

Send via

Text WhatsApp Email

By submitting, I agree to receive SMS/WhatsApp/Email notifications from Harvest Christian Ministries International.

Tap copy to use these details

Enter the amount you are ready to pay

$

or

Apple Pay number

Checkout

Full name *

Email *

Phone *

Shipping address *

Options *

Size *

Color *

Style *

Quantity

Payment is not handled on this site. Your message goes directly to Harvest Christian Ministries International.

Full name *

Email *

Phone (optional)

Shipping address *

For delivery quotes and fulfillment.

Street address

City

Country

Select country

State / province

Select state / province

ZIP / postal code

Message (optional)

Options *

Size *

Color *

Style *

Quantity

Send via

Text Email

Or contact directly

Email joinhcmi2025@gmail.com
Call +12402376063
SMS/Text +12402376063
Zoom https://us06web.zoom.us/j/8109053849?pwd=VnIyWTJJam83Qkc0YkhpdmNNQ1dldz09

Share instantly

Welcome to HCMI

Harvest Christian Ministries International

Pages

Home

Explore HCMI

Faith Confessions Past Sermons

Directions

Driving directions

Translate card

Choose language

Leave a comment

Opening editor…