(Bold faced labels indicate required entries)
Last Name: (to register an entire family, register one person and then add the others in the comments below. Add them all in the same paragraph.)
First Name:
Middle Name:
Street Address:
City:
State/Province:
Zip:
Country:
Email:
Phone:
Birthdate: month Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year:
Age:
Sex: Male Female
Memory Book: Pick One 1st John 1st Peter 1st Peter NASB 1st Thessalonians 1st Thessalonians NASB 1st Timothy 2nd Timothy Attainments in the Christian Life Author of Eternal Life Basis for the Christian Life Beholding His Glory Bible ABCs Bible Bees Churches of Revelation Churches of Revelation NASB Colossians Colossians NASB Enjoying God Enrichments in the Christian Life Ephesians The Everlasting Wisdom The Everlasting Word Galatians God Made Me God of Wonder God Speaks to Me God Speaks to Me NASB God with Us Isn't God Wonderful James Knowing God Let There be Light Light Unto My Path Light of His Glory Our Wonderful God Philippians Philippians NASB Possessions in the Christian Life Rewards of a Victorious Life Sermon on the Mount Sermon on the Mount NASB Son of God-Son of Man Stepping Stones in the Christian Life The Everlasting Word The Light of His Glory The Righteousness of Faith (Romans 5-8) The Righteousness of Faith (Romans 5-8) NASB The True Vine The True Vine NASB Thy Kingdom Come Thy Kingdom Come NASB Titus and Philemon Titus and Philemon NASB Walk in the Light Wise Words for Boys and Girls Wisdom for Daily Living-Youth Wisdom for Daily Living-Youth NASB Wisdom for Daily Living-Adult
Session: Pick One Spring Summer Fall
Hearer/Supervisor
Last Name:
Street:
Parent/Guardian Last Name:
Parent/Guardian First Name:
Registration Fee (per session, per household):
Memory Book Fee:
Postage:
Donation:
Total:
Comments: