KWM Membership Form

We are honored and thankful for your desire to become a member of Kingdom Way Ministries. Becoming a member of a local church is an important step for each believer. The Bible teaches that we are already members “one with the other” because of our spiritual union with Jesus Christ.

We require some information for the membership process. Please complete the information below and submit.

Name Name First Last
Phone Phone - ### - ### ####
Email
Date of birth Date of birth / MM / DD YYYY
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Occupation


	Single	Married	Divorced	Widowed
Marital Status:	Marital Status:Single	Marital Status:Married	Marital Status:Divorced	Marital Status:Widowed

When did you get saved?
When did you get baptized?
I state the following to be true:

I state the following to be true: I have accepted Jesus Christ as my Personal Saviour I have been baptized in water by immersion I am in agreement and accepting of the doctrinal statement of Kingdom Way Ministries
Draw your signature in the box:

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Signed this day Signed this day / MM / DD YYYY