Registration2025-1 » Ahava Love Impact Church Ministries

First name *

Last name *

Primary E-mail (for event reminders, etc.) *

Telephone

City/Town *

Select State *

Country/ Region *

Church name (if any)

Attendance Type *

Virtually (Fri., July 25, 2025)

In-Person Waterbury (Sat. July 26, 2025)

Are there additional adults with you? *

Other adult(s) First and Last name(s):

How many children are attending with you? *

Student 1 First and Last name

Student 2 First and Last name

Student 3 First and Last name

Any Other Student name(s) here:

Age Group (select all that apply)

Not Applicable

Age 2-5 years

Age 6-10 years

Age 10-13 years

Age 14-17 years

Age 18 and over

Grade (select all that apply)

None

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

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?

All Aboard! Churches Outreach 2025

Don't just show up, show up on time.

Personal Information (Adult)

Additional Adult Information

Child Information

~ THIS SECTION FOR IN PERSON ATTENDEES ONLY ~ For students attending with you: (Name and upcoming grade level is required for back to school and other giveaways)