Student Weekend Blast 2021

August 14 - 15 2021 | The Ridge Outdoor Adventure Park

8745 Pine Mountain Road, Springville, AL, USA

LET’S GET READY … to have your skills tested with challenging obstacle courses and team building activities. Then come together for a time of games, relevant messages, opportunities to build lasting friendships and grow deeper in Christ. You don’t want to miss it. Make plans now to attend. All registration forms and fees must be turned in no later than Wednesday, July 21st.

Please see Pastor Ryan, Shane Williams or Jaime White for questions!

PAYMENT OPTIONS: Registration is $30.00 per person! Please indicate on the form below how you are paying for this registration. If you are paying online, you will need to:

– Complete and submit the form.
– From the main drop down menu, choose the “GIVE” option.
– Choose “One Time Donation”

– In the “Notes” section type the “name/names & weekend blast” that your payment is covering.

(Ex: Jane Doe – Weekend Blast) or (Jane, Jill & John Doe – Weekend Blast)

If you are a human and are seeing this field, please leave it blank.

First Name

Last Name

Address 1

City

Zip / Post Code

Parent/Guardian Name

Cell#

Name of person to contact in case of an emergency?

Emergency Phone

I give my child permission to participate in the Youth Event

Does your child have any environmental allergies or food allergies? If so please list them.