Bartlett Hills Baptist Church
Thursday, February 23, 2012
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Guest Registration

 
Welcome to Bartlett Hills Baptist Church!  We are blessed that
God has led you to us today.  To register with us or if you would
like more information about our church, please complete the
information below:
 
   Today's Date:  
   Your Name: 
   Your Date of Birth mm/dd/yyyy
   Your Email Address: 
   Your Cell Phone:
    Spouse Name 
    Spouse Date of Birth mm/dd/yyyy 
   Spouse's Email Address: 
   Street Address: 
   City: 
   State: 
   Zip Code: 
   Home Phone: 
   Are you a member of a church?  
   If yes, which church? 
   Name of First Child 
    Date of Birth  mm/dd/yyyy
    Grade 
   Name of Second Child 
   Date of birth mm/dd/yyyy  
   Grade  
   Name of Third Child  
   Date of Birth mm/dd/yyyy  
   Grade