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Churches Evangelical Community Outreach 2024
REGISTRATION
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Outreach Information
Your Name prefix, Mr or Mrs?
First name *
Last name *
State/ Province *
City/Town *
Country *
Telephone *
Primary E-mail
Church name (if any)
How are you attending? (select) *
Virtually
In-person
Virtual Attendance (select all that apply) *
Thurs., July 24th, 7pm-Midnight
Fri., July 25th, 7am-5pm
Sat., July 26th, 9am-6pm
Sun., July 27th, 9am-5pm
Will not Attend Virtually
In-person Attendance (select all that apply) *
Sat., July 26th, 9am-6pm
Sun., July 27th, 9am-5pm
Will Not Attend In-Person
Are you attending with a group? (select) *
Yes
No
Number of adults attending (including yourself):
How many are adults? *
Other adult(s) name(s):
Students attending with you: (Name and upcoming grade level is required for back to school and other giveaways)
How many children are attending with you? *
Student 1 first name
Student 1 last name
Student 2 first name
Student 2 last name
Other Student name(s) here:
Age Group (select all that apply) *
2-5 years
6-10 years
10-13 years
14-17 years
18 and over
Grade (select all that apply) *
None
Daycare
K
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Higher Learning
Needs (Check all that Apply) *
Food (local only)
Back to School Supplies
Other Resources Help (local only)
I'm All Set
Any other special considerations?
Verification Code *
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