Interest Form

Interest Form

for Child Dedication, Baptism, New Member and Ministry Team
Thank you for your interest. Please fill out as much of the information on this form as possible. Our staff will respond to you as soon as possible. For more information, please call our office during business hours.

913-583-1670

Monday -Thursday 9-3
Please select the option that fits your request*

I want to have my child/children dedicated.I want to be baptized.I want to attend the New Members class.I want to serve on a Ministry Team.
Name*

PrefixFirst NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you selected child dedication, baptism or New Members class, please list the name/names of those in your family who will participate.
If you desire to serve on a ministry team, please indicate if you have a specific ministry team in mind. (Please note, there may not be openings in every department, but WE HAVE A PLACE FOR YOU!)
Should be Empty: