Welcome to Faith Evangelical Presbyterian Church

Our mission is to know Christ and to make Him known.

Youth Mission Trip 2016

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Youth Missions Trip Registration Form

July 23 - 30, 2016

 Faith Evangelical Presbyterian Church

5725 Castlewellan Drive

Kingstowne, VA 22315

703-971-3800

www.faithepchurch.org

mikeabittenbender@gmail.com

 

Student's Information

Please complete registration for each child.

(1) Fill out Registration form below,

(2) Download and fill out "Youth Medical Form and Consent" for Trip. Send in with deposit. 

 

Fill in form and Click "Submit Form" below to complete registration form.

Red * is required information.

First Name*
Last Name*
Email
Mobile Phone
Date Of Birth
Grade (Fall 2016)*
T Shirt Size
Allergies
Mother's Name*
Mother's Email
Father's Name
Father's Email
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone
Emergency Phone*

Click "Submit Form" to complete registration.