Attendance Registration

DATE:
NAME(S) -- LAST & FIRST:
 
ADDRESS:     New Address
CITY:     STATE:     ZIP:
PHONE:     New Phone
 
SERVICE ATTENDED:     9:00 AM     10:30 AM     Other:
FREQUENCY:     First Visit    Second Visit    Regular Attender     SSCC Member
 
GUEST TODAY OF:
 
NUMBER OF FAMILY MEMBERS IN EACH AGE CATEGORY HERE TODAY:
         Preschool     Elementary     Middle School      High School
         19-25      26-34      35-44      45-49      50-59      60+
 
 
I AM INTERESTED IN:
    Becoming a Christian
    Church Membership
    Baptism
    Bible School Information
    Small Group Bible Studies
    Ministry/Serving Opportunities
  
    Children/Teen Information
    Music Ministry Information
    Women's Ministries
    Receiving Offering Envelopes
    Other:
 
I'D LIKE TO TALK TO A STAFF MINISTER:    
 
PRAYER REQUEST:
               
 
QUESTIONS OR COMMENTS:
               
 
 

Submitted by:   (VISITOR NAME)
 
E-mail address:  
 
 

Logo of South Side Christian Church South Side Christian Church
 1000 Broadmoor Avenue ... Munster, Indiana 46321

  (030326:030)