Registration

Planing to come to the Harvest Rally? Sign up here! Thanks!
*Marks required information.

*Church Name
Street Address
City
State
Zip Code
*E-mail Address
*Phone Number Numbers only. No - or ( )	Ext
*Youth Leader Name
*Number of Teens	x $12
*Number of Adult Sponsors	x $12
Register us for this many volleyball teams (you may have more than 3 teams)
VB Team 1 Name
VB Team 2 Name
VB Team 3 Name
Register us for this many flag football teams (you may have more than 3 teams)
Flag Football Team 1 Name
Flag Football Team 2 Name
Flag Football Team 3 Name
Questions or Comments

*Required Field

One change for 2009: please send in your number of teens & sponsors coming as well
as the $12 registration by Friday,October 2, 2009.