Marriage Intimacy Class

Engaged Couples Mail-In Registration Form

 

PAYING BY CREDIT CARD: Complete this registration form in its entirety, print and mail to the address below or fax to (210) 493-1960. Please note that we are unable to process debit cards at this time.

 

PAYING BY CHECK or MONEY ORDER: Please include check or money order payable to Cornerstone Church.

  Rev. Gerry Lawrence

Cornerstone Church

 Attn: Adult Ministries

    239 N. Loop 1604 West

        San Antonio, Texas 78232

 

If you unable to print this form, please contact our office and we can mail or fax you a registration form.

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

Engaged Couples Contact Information

Date of Wedding

 Engaged Since

(must be within 6 months to attend)  

HIS PERSONAL INFORMATION

 HER PERSONAL INFORMATION
His First Name  

Her First Name
His Last Name  

Her Last Name
His Street Address  

Her Street Address
Apt #   

Apt #
City   

City

State  

State
Zip 

Zip
Home Phone

Home Phone
Work Phone

Work Phone
Cell Phone

Cell Phone
Age

Age
If ever divorced, # of times

If ever divorced, # of times
What church do you attend? 

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

How long have you attended?
Do you attend a cell group?

Yes     No

Do you attend a cell group?

  Yes     No
Tribe of

Tribe of
Name of Cell Leader

Name of Cell Leader
Occupation

Occupation
His Email address

Her Email address
       

                           

His:          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?

 

Hers:          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?

Childcare Registration

For children age 8 weeks thru age 12
1st Child's  Name     Age 
2nd Child's  Name     Age 
3rd Child's  Name     Age 
4th Child's  Name     Age 

Registration Fee

Mark the appropriate circle

                    Cornerstone Members     $55   (have attended Discover the Difference)

                                                             Non-Members     $65 

  A late registration fee of $5 will be added after the registration closing date

Credit / Debit Card Information 

     If not paying by credit card, stop here and print the form and mail it with your check or money order
 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 card and do not want to email, print the completed form and mail it to address at top of page.