First Christian Church Huber Heights
Secure Online Form
Student Registration for the Awakening 2018

Must be entering 7th through 9th grade in the fall.

June 11-15, 2018; 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 2018:
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?