HFAW Registration
Please complete the form below to register for Heritage For a Weekend (April 30-May 2). The registration deadline is April 16. This event is for students in eighth grade or higher. Updates will be sent via email. If you have any questions, you may email Valerie Stephens vstephens.heritage@gmail.com.
First name *
Last name *
Gender *
Preferred name *
Email *
Phone number *
Address (Street, City, State, ZIP) *
Birthday *
High School Graduation Year *
Parent #1 Name *
Parent #1 Relationship *
Parent #1 Address *
Parent #1 Phone Number *
Parent #1 Email *
Parent #1 Occupation *
Parent #2 Name *
Parent #2 Relationship *
Parent #2 Address *
Parent #2 Phone Number *
Parent #2 Email *
Parent #2 Occupation *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Email *
What person or event has influenced you to attend Heritage For a Weekend? *
Have you been convicted of a felony or misdemeanor (above the level of traffic violation)? *
As a Pentecostal Holiness Bible College, Heritage maintains certain standards which are required of every member of our campus community, even if they differ from personal convictions or preferences. By submitting this form, I consent to abide by the principles and expectations outlined in the Student Handbook while attending Heritage For a Weekend. *
What is your shirt size? *
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