TEST | Church Mobilization Network

Name*

First Last

Phone*

Email*

ARE YOU COMING FOR BREAKFAST?*

YES
NO

Breakfast will be served at 7:45 am at University Parkway Baptist Church, 219 University Parkway, Johnson City.
The menu is: eggs, bacon, biscuits/gravy, pancakes, cereal, fruit, and juice.

DO YOU HAVE FOOD ALLERGIES?*

YES
NO

WHICH CHURCH DO YOU ATTEND?*

MEDIA RELEASE DISCLOSURE

PLEASE INDICATE IF YOU AGREE TO BE PHOTOGRAPHED AND VIDEO RECORDING.*

YES
NO

Please be advised that you and/or your children may be photographed or videoed during this LoveJC event. Such pictures and video taken may be published to Summit and other Church's social media pages.

PROJECT SELECTION

Click the link below to view all of the event serving opportunities. Then using the dropdown arrows select your first, second, and third choice.

Project FIRST Choice*

Project SECOND Choice*

Project THIRD Choice*

Note: After submitting this form, please fill out a separate registration form if you have additional family members participating.