JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Weekend Blast Registration Form 2020
Please fill out one form for each person attending. Weekend Blast January 10th -12th 2020
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student or Participant's First Name
*
Your answer
Student or Participant's Last Name
*
Your answer
Student or Participant's Phone Number
*
Your answer
Parent/Guardian Name
*
If you are an adult participant please list an emergency contact
Your answer
Parent/Guardian Phone Number
*
If you are an adult participant please list an emergency contact info
Your answer
Grade
*
Choose
6
7
8
9
10
11
12
Chaperone
T-Shirt Size
*
Choose
S
M
L
XL
2XL
3XL
Gender
*
Choose
Male
Female
I will check with Blake or Joey to confirm that I have a completed medical release form. I will either call or take care of it at the parent meeting!
*
Yes
Required
To PAY ONLINE please use the link below. Make sure where the option is given for "FUND" to select "OTHER" and in the memo to type "WEEKEND BLAST- (Student Name)". You can also pay at the church by check or cash.
https://pushpay.com/g/fbchaughton?src=hpp
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
