BAPTISM REGISTRATION
Fill out the form below to be baptized in Jesus name following our 9pm Crossover New Year's Eve Service, Wednesday, December 31, 2025, at Kingdom City Church Charlotte.
BAPTISM IN JESUS NAME
As a candidate to be baptized, you will be fully submerged in water. Therefore we ask that you please wear/bring the following: (1) Wear all black attire with the proper undergarments; (2) Proper Shoes/Socks; (3) Two-Three White Towels; (4) A Bag to Keep Your Wet Items In; (5) A Change of Clothes, if needed; (6) A Shower Cap/Swim Cap, if needed
Name
*
Brother
Sister
Mr
Mrs
Ms
Prefix
First Name
Last Name
Age Range
*
Please Select
Adult - 18+
Teen - 13-17
Child - 12 & Under
If under 18, please list the parent/guardians name below:
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Your KCC Affiliation/Location
*
Please Select
KCC Charlotte
KCC Jax
KCC Houston
KCC Online
Guest/Visitor
CCIF
City
State
BAPTISM IN JESUS NAME
As a candidate to be baptized, you will be fully submerged in water. Therefore we ask that you please wear/bring the following: (1) Wear all black attire with the proper undergarments; (2) Proper Shoes/Socks; (3) Two White Towels; (4) A Bag to Keep Your Wet Items In; (5) A Change of Clothes, if needed; (6) A Shower Cap/Swim Cap, if needed
Submit
Should be Empty: