2024 | EPIC Unashamed Conference | Student Registration

June 10-14, 2024 | Please fill out this form and click submit.

Event Contact: Spencer Foreman
Event Email: sforeman@fallbrookchurch.org
Event Dates: June 10th - 14th, 2024

Interested in being an Adult Volunteer?

Send an email to sforeman@fallbrookchurch.org and a member on the Student Ministry team will contact you shortly.

Student's Name

*

Gender

*

Please select one option.

Male Female

Birthday (MM/DD/YYYY)

*

Last Grade Completed (2023-2024 School Year)

*

Please select one option.

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Parents' Name(s)

*

Phone

*

Email

*

This address will receive a confirmation email

Address (Full Mailing Address)

*

Allergies, Medical and/or Special Needs (Type N/A if None)

*

Are you A Member of Fallbrook Church?

*

Please select one option.

Yes No

May we have permission to photograph your child?

*

Please select one option.

Yes No Of course!

Do you Follow Fallbrook Student Ministry on Social Media?

*

Please select one option.

Yes No I'm Not Sure

If yes, Which Platform?

*

Please select one option.

Facebook Instagram N/A

Description

June 10-14, 2024

Please fill out this form and click submit.

Please Fix the Following

Close