RKM VISITOR CHECK IN

Welcome to Restore K.M! Welcome To Family! Welcome Home!

Our prayer for you is that you are healed, delivered, and restored! We thank you for allowing us to be a servant to you. We believe that once you are here for 5 minutes you are family!

So please let us know how we may pray for you and your family. Be Blessed.
-Pastor Robert & Brigette Douglas Jr - Servant Leaders

Date of visit?

Full Name

First NameLast Name

Spouse

If applicable.

Children? What are their name and ages?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

Mobile

How did you hear about Restore Kingdom Ministries?

Is there anything specific that you would like prayer or counseling for?

Are you looking for a church and would like to join The RKM Family?

Do you have a few minutes to meet or leaders after sevice?