Cornerstone Baptist Church
Prospective Members Class Registration Form
Fall 2010
Please complete the following form and submit it to register for the Prospective Members Class in the Fall. We will contact you when a specific date has been set. Thanks!
Name
Email
Address
City
State
South Carolina
Zip Code
Phone Number
Spouse's Name
Child 1 Name Child 1 Age
1
2
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18
Child 2 Name Child 2 Age
1
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11
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17
18
Child 3 Name Child 3 Age
1
2
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5
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18
Child 4 Name Child 4 Age
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18
Child 5 Name Child 5 Age
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5
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9
10
11
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13
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15
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17
18
How many highchairs do you need?
none
1
2
3
Total Number attending in your family
Number
1
2
3
4
5
6
7
8