Tabernacle Baptist Church
Thursday, October 30, 2014
 
 

Registration

Mom/Caretaker’s Name   

 

Child’s Name

 

Child’s Age     Date of Birth

 

Address   

 

City        State   

 

Home Phone        Cell  

 

Email address       

 

Member of Tabernacle?     

Are you a member of Sunday School?

 

If not, do you have a church home?   

Name of church    

 

Do you or your child have any food allergies?  

 

What allergies?