Parenting Class

 

Mail In Registration Form 

 

             

Complete the registration form on line then print and mail it in with your check (payable to Cornerstone Church) or credit / debit card info or fax it with your credit / debit card info.

The church can not process debit cards at this time.
                                           Mail to:  Rev. Gerry Lawrence
                                                         Cornerstone Church
                                                         Attn: Adult Ministries
                                                         239 N. Loop 1604 West
                                                         San Antonio, TX  78232

 
    If you can't print this form, call us and we can mail or fax you a registration form.
 

If you have questions, call CJ Gonzales at 477-1550 ext 2
 

Contact Information
Your First Name   
Spouse's First Name (if attending)   
Last Name   
Street Address   
Apt #   
City   
State   
Zip   
Marital Status   
Home Phone   

                                Family Status   

   

     
     
     
     

                                                                                            You           Spouse (if attending)
Day Time Phone   

Age   
What church do you attend?   
How long have you attended ?   

Do you attend a cell group?   

Yes     No     

Yes     No     
Your Email address

Spouse's Email address

 

   Father:        If you were to die today, do you know for sure where you would go?

Yes  No  Not sure

______________________________________________________________________________________________

 If you went to heaven and God asked, "Why should I let you into heaven?" 

What would you answer?

 

 

   Mother:        If you were to die today, do you know for sure where you would go?

Yes  No  Not sure

______________________________________________________________________________________________

 If you went to heaven and God asked, "Why should I let you into heaven?" 

What would you answer?

Family Information & Childcare Registration

                                                                                                                           Living at     Need

                                                                                                                             Home?  Childcare?

                                                                      Name                                    Age    (Y or N)    (Y or N)
1st Child                     
2nd Child                    
3rd Child                  
  4th Child                   
 

Childcare: For children 8 weeks to age 12 - must be pre-registered.

Registration Fee

Mark the appropriate circle

                    Cornerstone Members     One parent     $35         (have attended Discover the Difference)
                                                               Both parents  $45  
                                  Non-Members     One parent     $45  

                                                               Both parents  $55  

Credit / Debit Card Information 

     If not paying by credit card, stop here and print the form and mail it with your check
 Credit Card Type    
Name on Card      
 Card Number    
 Expiration Date       Mo-Yr (Example 07-2005)
Card Holder Address      
                (City, State, Zip)

 If paying by credit / debit card and do not want to fax this, print the completed form and mail it to address at top of page.

                                Print & Mail It with Payment