Faith on Fire! Registration

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Faith Presbyterian church

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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
info@faith-presbyterian.com (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.