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Versailles Baptist Church Guest Registration
ADULT / PARENT INFORMATION
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First Name
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Your answer
Last Name
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Your answer
Marital Status
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Married
Single
Date of Birth
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DD
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YYYY
Name of Spouse (if applicable)
Your answer
Spouse's Date of Birth
MM
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DD
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YYYY
Street Address
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Address Line 2
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City
*
Your answer
State
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Your answer
Postal / Zip Code
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Your answer
Home Phone
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Cell Phone
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Email Address
*
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Are you a member of another church?
Yes
No
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If yes, name of church:
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What services will you be attending?
(check all that apply)
Sunday 9:00am - Bible Study Groups (available for all ages)
Sunday 10:30am - Worship Service (available for all ages)
Wednesday Evening Programs (available for ages)
Other
I would like more information on:
(Check all that apply)
Worship Service
Bible Studies
Missions
Hispanic Services
Children's Ministries
Youth Ministries
Getting a Bible
Becoming a Christian
Baptism
Joining the Church
IF YOU ARE NOT REGISTERING CHILDREN, PLEASE SKIP TO THE END AND PRESS SUBMIT.
___________________________________________________________________________________
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Child # 1 Full Name
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Child #1 Date of Birth
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DD
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Child #1 Gender
Male
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Child #1 Grade
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Child #1 Age
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Child #1 Allergies / Special Needs
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Child # 2 Full Name
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Child #2 Date of Birth
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DD
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YYYY
Child #2 Gender
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Child #2 Grade
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Child #2 Age
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Child #2 Allergies / Special Needs
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Child # 3 Full Name
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Child #3 Date of Birth
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DD
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YYYY
Child #3 Gender
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Child #3 Grade
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Child #3 Age
Your answer
Child #3 Allergies / Special Needs
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