Fifteenth Avenue Baptist Church
Monday, August 21, 2017
Loving God...Loving Others

Event Signup

 
 
 

To sign up for a scheduled youth event, please complete and submit the form below.  A confirmation email will be sent to you when your information is received.

 
 
Activity/Event                              
 
Event Date                                      
 
Student Name                             
 
Payment Type                             
 
Student Home Phone                  
 
Student Cell Phone                     
 
Grade                                          
 
Gender                                        
 
Age                                              
 
Birthdate                                               
 
Address                                        
 
City                                              
 
State                                            
 
Zip                                               
 
Parent/Guardian Name                 
 
Home Phone                                
 
Cell Phone                                    
 
Parent Email                                 
 
Friend you'd like to room with?     
 
Tshirt Size                                     
 
Member of FABC?              
 
If not, where do you attend?        
 
Parent/Guardian Initials (serves as your signature)