Marriage Intimacy Class

Married Couples Mail-In Registration Form

 

PAYING BY CREDIT / DEBIT CARD: Complete this registration form in its entirety, print and mail to the address below or fax to (210) 493-1960.

 

PAYING BY CHECK or MONEY ORDER:   Complete this registration form in its entirety, print and mail to the address below with your check or money order payable to Cornerstone Church.

Mail to:

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
 

Married Couples Contact Information
Husband's First Name   
Wife's First Name   
Last Name   
Street Address   
Apt #   
City   
State   
Zip   
Number Years Married   
Home Phone   

                                                                                                

     Husband

         Wife
Work Phone   

Cell Phone   
Age   
If ever divorced, # of times   
What church do you attend?   
How long have you attended ?   

Do you attend a cell group?   

Yes No

Yes No
Tribe of   
Name of Cell Leader   
Occupation   
His Email address

Her Email address

 

   Husband:        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?

 

 

   Wife:        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
 Credit / Debit Card Type   (VISA, MasterCard, etc)
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 email, print the completed form and mail it to address at top of page.