4th Night Registration
Let us know that your student is planning to attend 4th Night at Strong Tower Church & help us get to know you!
Email address *
What is the student's first & last name? *
Your answer
How old is the student? *
Your answer
What grade is the student about to start?
What school does the student attend?
Your answer
Does the student regularly attend a church and/or youth group? *
If you answered "yes," what is the student's home church?
Your answer
What is your full name & phone number? *
Your answer
Is it okay for us to text you?
If applicable, what is the student's phone number?
Your answer
Is it okay for us to text this student?
If applicable, what are the student's social media handles? (Twitter, Instagram, Facebook, etc.)
Your answer
Give us an emergency contact name & phone number! *
Your answer
Does this student have any allergies we should know about? *
If this student has any allergies we should know about, please list them below!
Your answer
We love young people and we will do everything in our power to keep this event fun, safe, and positive for everyone who attends! However, we know that things can happen beyond our control. By selecting the text box below and submitting this electronic form, you release Strong Tower Church from all liability in the event that a minor in your care is harmed in any way. *
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