The Park South



THE PARK MINISTRIES

Salvation (PLEASE PRINT)

Name:_________________________________________________________________ Gender:__________

Address:__________________________________________________________________________________

City/State/Zip Code: _______________________________________________________________________

E-mail:______________________________ phone(H):______________ phone(W):___________________

Youth: Because of my age, my parents must be informed: ____ Age: ______

(between age 5 -15)

How did you hear about The Park Ministries?

___Radio ___TV ___Friend ___Yellow Pages ____Other

THE PARK MINISTRIES

Salvation (PLEASE PRINT)

Name:_________________________________________________________________ Gender:__________

Address:__________________________________________________________________________________

City/State/Zip Code: _______________________________________________________________________

E-mail:______________________________ phone(H):_______________phone(W):___________________

Youth: Because of my age, my parents must be informed: ____ Age: ______

(between age 5 -15)

How did you hear about The Park Ministries?

___Radio ___TV ___Friend ___Yellow Pages ____Other

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Today’s Date:_____/_____/_____ Service Attended: 8:45____ 10:45____ TPC Online

Today’s Date:_____/_____/_____ Service Attended: 8:45____ 10:45_____ TPC Online

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