Registration

Click here to download the registration form

or use the electronic form below! 

We’re Planning to Come

 

Church Name ____________________________________________________________________________________

  

Address _________________________________________________________________________________________

 

 City___________________________________ State____________ ZIP ______________________ 

 

E-mail ___________________________________________

 

 Phone ___________________________________________

 

 Youth Leader Name _________________________________

 

 Number of Teens _________ x $15

  

Number of Adult sponsors __________x $15

 

 Please send in your approximate number of teens & sponsors coming

with the $15 registration by Friday, September 11, 2015.

 

Send Payment to:

Emmanuel Baptist Church

RE: “Harvest Rally”

4681 E Trindle Rd

Mechanicsburg, PA 17050

 

*please make checks payable to “Harvest Rally”