Skip to main content
Website designed with the B12 website builder. Create your own website today.
Start for free
Christ Kingdom Ministries
Home
About
Services
Contact
More
Intake form
Help us serve you better
Name
*
Email address
*
What is your age range?
Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 and over
What services are you interested in?
Please select at least one option.
Evangelism
Marriage support
Singles support
Homeless feeding program
How did you hear about us?
Select
Social Media
Friend or Family
Website
Event
What is your current marital status?
Select
Single
Married
Divorced
Widowed
Are you currently seeking marriage?
Select
Yes
No
What kind of support do you require?
Additional questions or comments
Submit
Sorry, we were not able to submit the form. Please review the errors and try again.