Summer Festival Participant Form

Participant's Name:
Parent's Name(s):
Participant's Email:
Parent's Email:
Participant's Cell Phone:
Parent's Cell Phone:
Home Phone:
Address:
City, State & Zip:
Date of Birth:
Home Church:
Gender:
Grade in School for '08-'09:
Parents are you interested in helping?:
Comments:
Payment Arrangements: You are not registered for the trip until your payment is received. FLC believes that finances should not prevent participation, so Camperships are available. Please indicate your need for a campership in the box to the right.
Special Needs: If your child has a special need it's very important for us to know so we can ensure your child has the best possible experience. Some examples of Special Needs are: ADD/ADHD, physical disabilities, Autism, Allergies, etc. Please let us know how we can help your child.

“If this page fails to send, please copy the contents and paste it in an email sent to Jill Hasse at jhasse@flcfargo.org with the trip/event title in the subject line!”