KBC Student Connect

First Name

Last Name

What grade are you in?

Your Phone Number

Can we call/text you?
Yes
No

Parent/Guardian name

Guardians Phone Number

Social Media handle - We'd love to follow you

What Spiritual Decision did you make today?
To follow Jesus for the first time
To Rededicate my life to Jesus
To be baptized
I just want to talk to someone
Other-Fill out in box below

Spiritual Decisions continued