First Christian Church Huber Heights
Secure Online Form
Registration for Adventure Week 2018

STAFF CHILDREN ONLY

Ages Birth through 3 by June 11.

4th through 6th grades please register for on regular webpage by clicking here.

June 11 - 15, 2018; 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
 
Please select:
 Infant
 Toddler
 
Street Address:        City: 
 
State:       Zip: 
 
Phone:
 
Does your child attend church regularly?
  Yes at First Christian Church Huber Heights
  Yes at another church
  No
 
Staff Member     Phone:
 
Is your child allergic to anything?
 
How did you hear about Adventure Week?
 
Tshirt* -     Past ordering date none may be ordered
Any Tshirts not paid for or picked up by Jun 9 will be released for open sale.
 
Music CD:     $5 each  (Whiule supplies last)
      
 
Is there any other information you would like us to know about your child?
 
 
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.