Faith on Fire! Registration

Faith's Lifework is sharing Christ's love, spreading Christ's Word, caring for others. Connect with Us

Faith Presbyterian church

Welcome
Home
About Us
Ministries
Get Involved!
News
Give

2018-2019 Faith on Fire Registration Form
Complete the following form with your family's information, then click on the submit button at the bottom of the page.

* Indicates required field

Parent Name *

First

Last

Person registering child

Address *

Line 1

Line 2

City

State

Zip Code

Country

Daytime Phone Number *

number you can be reached at during office hours

Email *

I consent for Faith Presbyterian Church to use my child(ren)'s picture on the church website or social media. *

Yes No

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Please Register # Child[ren] *

please enter number of children being registered for VBS

Please register # adult volunteers *

please enter number planning to attend the Bible study portion

1st Volunteers' Name *

First

Last

Adult T-Shirt Size *

Small Medium Large XLarge 2XLarge

Preferred area to volunteer *

2nd Volunteers' Name *

First

Last

Adult T-Shirt Size *

Small Medium Large Xlarge 2XLarge

Preferred area to volunteer *

Secondary Emergency Contact Phone Number *

1st Child's Name *

First

Last

Age *

child's age as of June 22

Grade Completed *

Date of Birth *

T-Shirt Size *

Small Medium Large Ex. Large Adult Small Adult Medium Adult Large Adult XL

Allergies/ medical conditions/ other: *

2nd Child's Name *

First

Last

Age *

child's age as of June 22

Grade Completed *

T-Shirt Size *

Choose One *

Child Small Child Medium Child Large Child XL Adult Small Adult Medium Adult Large Adult XL

Allergies/ medical conditions/ other: *

3rd Child's Name *

First

Last

Age *

Grade Completed *

Date of Birth *

T-Shirt Size *

Child Small Child Medium Child Large Child XL Adult Small Adult Medium Adult Large Adult XL

Allergies/Medical Conditions/Other *

Additional Questions or Comments *

Thank you for registering for Faith on Fire 2018!
We look forward to seeing you on September 5th.

Submit

Faith Presbyterian Church
8100 Giles Road, La Vista, NE 68128
[email protected] (402) 331-6944

2018-2019 Faith on Fire Registration FormComplete the following form with your family's information, then click on the submit button at the bottom of the page.

2018-2019 Faith on Fire Registration Form
Complete the following form with your family's information, then click on the submit button at the bottom of the page.