REGISTRATION FORM Personal Information Mr Mrs Miss First Name Last Name Address City Code Email Home Tel. Cell Num. Age Group 13 - 19; 20 - 29; 30 - 39; 40 - 49; 50 - 59; 60 - Older; Birth Date Month and Day Marital Status Married; Single; Children Information First Name 1 Month and Day 1 First Name 2 Month and Day 2 First Name 3 Month and Day 3 First Name 4 Month and Day 4 Communication I would like to receive monthly news by mail: YES NO I wish to be contacted by: Phone Email Personal Visit No, thank you Area of Interest Praise and Worship Intercession Band Technology, Sound and lightning Ushering Cleaning Décor and Refreshments Youth Ministry Children's Church Woman's Ministry Men's Ministry Outreach Ministry Security at Church Other Specify other THANK YOU
