Green Valley Baptist ChurchEvent Registration

Members & regular attenders may complete required fields.

Visitors, please complete all information.

Note: For Family Events, please put all FIRST NAMES on the form, then be sure to indicate how many will attend.
(This helps with the count.)

Enter the name of the event you are registering for.

Name *

First Name

Middle

Last Name

Email

Address

Address Line 1

Address Line 2

City

State

Postal Code

Grade 2011-2012 (or adult)*

I am a visitor of:

My insurance information has changed. I will send in a new permission form. Yes
No

Adults: For driving events: I will drive and can safely seatbelt in this many:

How many are attending this event?