First Christian Church Huber Heights
Secure Online Form
Registration for Adventure Week 2019

Must be 4 yrs old by 06/10/19 or entering K through 6th Grade

7th through 9th grades please register for "The Awakening" on that webpage. 

June 10 - 14, 2019; 8:55 A.M. to 12:30 PM
If you have multiple children to register, please register them separately.
Registration Date (MM/DD/YY):
E-mail Address*:
Child's First Name*:      Child's Last Name*:
Child's Age*:      Child's Birthday (MM/DD/YY)*: 
Child's Gender*:
 Girl        Boy
Grade entering in Fall 2019*:
  4 years old by June 10th
  First Grade
  Second Grade
  Third Grade
  Fourth Grade
  Fifth Grade
  Sixth Grade (entering or leaving)
Street Address*:        City*: 
State*:       Zip*: 
Does your child attend church regularly?
  Yes at First Christian Church Huber Heights
  Yes at another church
In case of emergency, who do we call and at what phone number?
Name*:      Phone*:
Is your child allergic to anything*?
How did you hear about Adventure Week?
Is there any other information you would like us to know about your child?

Tshirt* -     $6 pay via pushpay ( - Give option) or onsite at pick up.

Orders Closed.  Any Tshirts not paid for or picked up by Jun 10 will be released for open sale.

Music CD:    $5 each (While supplies last)
Photos and video are taken during Adventure Week to celebrate the event in weekend services, to place on our website to promote children's ministries or in print media to promote First Christian Church in the community.  Registration implies your consent to having images of your child potentially used for these purposes.