Fun Arts - Peninsular Florida District Council

FA Church Registration Form

"*" indicates required fields

All fees are NON-REFUNDABLE. Please verify that what is listed is complete & correct. All questions and change requests MUST be submitted by email to jrosekelly@penflorida.org by the Childrens Leader.

Church Name*

Church Address*

Street Address City ZIP / Postal Code

Children's Leader*

First Last

Childrens Leader Phone Number*

Leaders Email*

Individual Participants

Please add students below.

Name	Current Grade Level	Categories	Category 1	Registration Amount	Actions

There are no Participants.

Non-Participant Registration*

Please enter the number of guests attending with the student. There will be a $5 charge for each attendee.

Payment Section

Non-Participant Registration

Please enter the number of guests attending with the student.

Price:

Total from Student Entries

Price: $0.00

Total Owed

Please pay this amount with credit card, or submit a check.

Payment Options*

Credit Card

A Check is on its way

Credit Card

Cardholder Name

Card Details