Child/Youth/Adult Participant Registration

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Thank you for your interest in attending our 2021 Servant Event trip to Heit's Point! This form is for registering children/youth and adult participants. There is a separate form to apply for Adult Chaperone positions. Visit hcross.com/hp2021 for more info.

Different forms must be completed for each individual attending the trip, even if they are part of the same family.

This form will not be considered complete until the coordinating deposit has been received by DCE Intern Dana (in person, via mail, or dropped off at the church office).

First Name *

Last Name *

Gender *

Female

Male

Date of Birth *

YYYY

Address (Street, City, State, Zip) *

Is this registration form for a child (under 13 years old), youth (14-18 years old) or adult (18+)? *

Child

Youth

Adult

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