Outreach District Event

Before filling out this form

You must have the following information for your attendee(s):
  • Name
  • Role
  • Phone
  • Email
  • Emergency Contact
  • Dietary or Medical Needs
Point of Contact(Required)
This is the contact person for details regarding the registration. This name is NOT registered as an attendee. You may put yourself as this point of contact AND add your attendee registration below.
Point of Contact Email(Required)
Church/Organization Address(Required)
Attendee Phone Email Actions