Page 24 | Shady Oak MB Church

NOTE: The "Family Chat" is required before attending the Members Class. If you have not completed the "Family Chat" please access the Family Chat page via the home page.

Members Class Registration Form

Name (Required)

Email Address (Required)

Phone Number (Required)

Age Group (Required)

Adult T-Shirt Size? (Required)

Small

Medium

Large

Extra Large

2X Large

3X Large

Birthday (Required)

Preferred contact method? (Required)

Phone Call

Text

Have you been baptized in Jesus Name? (Required)

In Case of Emergency, who should we contact? (Required)

Date of Your First Visit or decided to be added to Shady Oak Church Family?

Do you have additional family that will attend with you? (Required)

If yes, Please list names and all information pertaining to each individual? (Required)

Please choose date for Members Class below. (Required)

Solve 9 + 2 = ?

Shady Oak MB Church

11 Shady Oak Church Road
Collins, MS 39428

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