Valleydale Church
Monday, June 17, 2013
Worship God | Connect with Others | Serve the World

TRIBES Online Registration

 

After completing this online registration form in full, you will be taken to the online store to submit payment for the registration fee of *$15.

 
First Name   Last Name 
 
Street     City      Zip 
 
Home phone      Cell Phone 
 
T-shirt size (YOU MUST CHOOSE ONE):  Small  Medium   Large   XL  
 
Grade you will be in this fall:     6      7      8      9          Age 
 
School you will attend this fall: 
 
Rate your athletic ability (choose one):
School Team Athlete   Recreational Team Athlete   Backyard Athlete   Couch Potato
 
How often do you attend Valleydale Church?
All the time   Regularly   Occasionally   This is my first time at Valleydale
 
Parent's Email:     
 
Are you a member of a church?  yes      no
 
If so, which church?       I came with my friend(s):      
 
I would like to be in a TRIBE with my friend(s):    or    
 
 
 
 

 * a processing fee of .75 is added to all online payments