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”