Kingdom Church Baptism Request

If you or your loved one(s) are ready to make a public profession of your faith and be baptized at Kingdom Church, please fill out the form below for each person who desires to be baptized.

First name of Baptismal Candidate

Last name of Baptismal Candidate

Email Address

Phone Number

Are you filling out this form on behalf of someone else?

Full name of Baptismal Candidate

Please indicate the first and last name. We will use this spelling to create a baptism certificate to remind you of the day you chose to go public with your faith.

Birthday of Baptismal Candidate

Month

Day

Year

Have you or the Baptismal Candidate accepted Jesus into your heart?

Gender of Baptism Candidate

What is your unisex t-shirt size?