First Christian Church
Secure Online Form
Student Registration for the Awakening 2019
Must be entering 7th through 9th grade in the fall.
June 10-14, 2019; 6:30 to 9:00 pm
To volunteer please
click here.
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:
Seventh Grade
Eighth Grade
Nineth Grade
Street Address:
City:
State:
Zip:
Phone:
Does your child attend church regularly?
Yes at First Christian Church Huber Heights
Yes at another church
No
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 the Awakening?
Is there any other information you would like us to know about your child?