TEST | Church Mobilization Network

Name*

First Last

Phone*

Email*

ARE YOU COMING FOR BREAKFAST?*

YES
NO

Breakfast will be at Grace Free Will Baptist Church. 2110 Knob Creek Road (beside Mahoney's)

WHICH CHURCH DO YOU ATTEND?

DO YOU HAVE FOOD ALLERGIES?*

YES
NO

CHILDCARE INFORMATION

DO YOU NEED CHILD CARE*

YES
NO

Childcare will be provided at Hosanna Fellowship, 715 Sunset Drive. Childcare workers will be Hosanna's pre-screened & trained workers. (nursery - kindergarten)

DO ANY OF YOUR CHILDREN HAVE FOOD ALLERGIES?

YES
NO

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.

Getting a T-Shirt?

Order Your Shirt Here

PROJECT SELECTION

Click the "Serving Opportunities List" button below to view the full list of projects and details.
You can now use the dropdown options below to select your project preferences. Note that all registrants will be assigned to the same project. If you wish to have registrants assigned to different projects, please fill out a new registration form.

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 FIST CHOICE*

PROJECT SECOND CHOICE*

PROJECT THIRD CHOICE*

GETTING A T-SHIRT?*

YES
NO

T-SHIRT SIZE*