Registration Form printable pdf download

Registration Form

Your Name: ____________________________________Email:___________________

Address:

____________________________________________________________

Birthday:

__________________

Anniversary: ____________________

Your Age Group (Circle one): 18-25

25-34

35-44

45-54

55-64

65+

What is Your Favorite?

Color(s) of Clothing:

Beverage:

Candy/Candy Bar:

Color(s) for Decorating:

Holiday:

Animal:

Season:

Dessert:

Jewelry:

Flower:

Kind of Books/Author:

Food/Restaurant:

Kind of Music:

Magazines:

Others:

Things you collect: _______________________________________________________

List your favorite hobbies/pastimes: __________________________________________

Other Interests: __________________________________________________________

If you had $5 to $25 to spend on yourself, what would you buy? (circle items you prefer)

CD’s ______________________

Fingernail polish (specify color)

Writing pens

Fresh Flowers

Earrings (large, med, small)

Live greenery/plants

Seasonal Decorations

Pictures/Plaques

Gift Certificates for: ice cream/restaurant

Lotion/bath gels (scent): _______

Perfume (scent)__________________

T-shirts (what size): ___________

Note cards

Sweatshirts (size): _____________

Candy

Candles (scent): ________________

Picture Frames

Books/Magazines

Kitchen Accessories (towels, gadgets, etc)

Others: _______________________

List things you do not like: _________________________________________________

Please remember me in prayer this year for the following items: ___________________

Registration Form

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