Tabernacle Baptist Church
Thursday, October 30, 2014


Mom/Caretaker’s Name   


Child’s Name


Child’s Age     Date of Birth




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?