Name of Individual registering
Name of Organization
Address
City, State, Zip
Organization's Phone (Please be sure to include area code.)
Contact Person
Contact person's email
Contact person's phone number
Contact person's cell phone number
Dates you plan to participate
Cost package you plan to use
Number of adult participants
Number of youth participants
Please Note: There must be 1 adult per 7 youth.
MINISTRIES YOU MAY CHOOSE
Comunity Block Parties (PM only)
Construction Ministry
Paint the Town
Greenville Areia Interfaith Hospitality Network
Soup Kitchen (AM only)
Nursing Home Ministry
Park Ministry
Performance Ministry
Prayer Walks
Sports Camps
Lead/Participate in Worship (PM only)
Backyard Bible Clubs/Vacation Bible School
* items are required fields.