KOGSC Baptism Application (Adult)

“When we were baptized, we were buried with Christ and shared his death. So, just as Christ was raised from the dead by the wonderful power of the Father, we also can live a new life”. Romans 6:4

Name

First Name

Last Name

Date of Birth

Age

Gender

Marital Status

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country