Theme image

Registracion del Participante

Go Back

Trinity Evangelical Lutheran Church

Location

716 NY-25A

Rocky Point, NY 11778

Map It

Contact Lee Bernasconi:

631-371-7190

parished@thefishchurch.org

Primero, cuéntenos sobre usted:

Información de los Padres

Label

Thank you for being the best part of Trinity Youth Ministry!

Looking forward to seeing you soon!

"as for me and my household, we will serve the Lord.” Joshua 24:15

Nombre

This field is required.

Apellido

This field is required.

Correo Electrónico

This field is required.

Dirección 1

This field is required.

Dirección 2

This field is required.

Ciudad

This field is required.

Estado/Provincia

This field is required.

ZIP/Código Postal

This field is required.

Teléfono de Contacto 1

This field is required.

Teléfono de Contacto 2

This field is required.

Mensaje de texto Teléfono

This field is required.

Nombre del Contacto de Emergencia

This field is required.

Relación del Contacto de Emergencia

This field is required.

Teléfono del Contacto de Emergencia

This field is required.

Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Cuéntanos sobre tu participante

Which session will they be attending?

Nombre

This field is required.

Apellido

This field is required.

Grado Entrando

This field is required.

Género

This field is required.

Fecha de nacimiento

This field is required.

Alergias

This field is required.

Preocupaciones Médicas

This field is required.

Comentarios

This field is required.

— or —