Created by God Registration

Fill out this form and click submit to register electronically.

TUESDAY, FEB. 9
6:00 – 6:45 p.m. Mentor’s Meeting
Each small group of students will have one male and one female adult mentor.

7:00 – 7:45 p.m. Parents’ Meeting with Leaders & Mentors
Parents are required to attend if their child participates in the event.
Nursery provided; must have request in by Feb. 8 (see form below.)

FRIDAY, FEB. 19
6:00 – 9:00 p.m. Students and Mentors only
Supper provided.

SATURDAY, FEB. 20
9:00 a.m. – 1:00 p.m. Students & Mentors only

Light continental breakfast and lunch will be served to students and mentors.

1:00 – 2:00 p.m. Parents, Mentors and Students together

Parent/Guardian Name
Phone
Email
Address
Student's Name
Name(s) Parent Attending Parent Session (Feb 9)
Name(s) Parent Attending Student/Parent Session (Feb 20)
Do you need childcare?
Date Requested for childcare:
Child's Name (for nursery)
# of children for childcare:

Please submit payment to the church office.