Kingdom Faith Outreach Ministries

New Member Registration Form

Please complete the following information regarding yourself:

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Gender

Email

Phone Number

DOB

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Have You Been Baptized?

Yes

No, Not now

No, I want to be baptized

Marital Status

Do you have any children?

Yes

No

Are you a member of a church

Are you becoming a member of Kingdom Faith?

Are you a previous member of KFOM returning?

Do you have facebook?

Facebook Name

How do you prefer to be contacted by KFOM

Who were you invited to the ministry by?

If you had a choice, where would you like to serve?

Child #1

Please complete the following information regarding your child(ren). (under 18 years old)

First Name (Child #1)

Last Name (Child #1)

Gender (Child #1)

Birthdate (Child #1)

Grade (Child #1)

Cell Phone Number (Child #1) If applicable

Allergies

Has (Child #1) been baptized?

Yes

No, Not right now

No, I want my (Child #1) to be baptized

Emergency Contact (Child #1)

Emergency Contact Name (Child #1)

Emergency Contact Phone Number (Child #1)

Do you have another child?

Yes

No

Child #2

Please complete the following information regarding your child(ren). (under 18 years old)

First Name (Child #2)

Last Name (Child #2)

Gender (Child #2)

Birthdate (Child #2)

Grade (Child #2)

Cell Phone Number (Child#2) If applicable

Allergies (Child #2)

Has (Child #2) been baptized?

Yes

No, not now

No, I want (Child #2) to be baptized

Emergency Contact (Child #2)

Emergency Contact Name (Child #2)

Emergency Contact Phone Number (Child#2)

Do you have a third child?

Yes

No

Child #3

Please complete the following information regarding your child(ren). (under 18 years old)

First Name (Child #3)

Last Name (Child #3)

Gender

Birthdate

Grade

Cell Phone Number (Child #3) If applicable

Allergies (Child #3)

Has (Child #3) been baptized?

Yes

No, not now

No, I want (Child #3) to be baptized

Emergency Contact (Child #3)

Emergency Contact Name (Child #3)

Emergency Contact Phone Number (Child#3)

Do you have a fourth child?

Yes

No

Child #4

Please complete the following information regarding your child(ren). (under 18 years old)

First Name (Child #4)

Last Name (Child #4)

Gender

Birthdate

Grade

Phone Number

Allergies (Child #4)

Has (Child #4) been baptiaed?

Yes

No, Not now

No, I want (Child #4) to be baptized

Emergency Contact (Child #4)

Emergency Contact Name (Child #4)

Emergency Contact Phone Number (Child #4)

Do you have a fifth child?

Yes

No

Child #5

Please complete the following information regarding your child(ren). (under 18 years old)

First Name (Child #5)

Last Name (Child #5)

Gender (Child #5)

Birthdate (Child #5)

Grade (Child #5)

Cell Phone Number (Child #5) if applicable

Allergies (Child #5)

Has (Child #5) been baptized?

Yes

No, not now

No, I want (Child #5) to be baptized

Emergency Contact

Emergency Contact Name

Emergency Contact Telephone Number

NEW MEMBERSHIP FORM

New Member Registration Form

Child #1

Child #2

Child #3

Child #4

Child #5

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