FA Church Registration Form 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 ParticipantsPlease add students below. Name Current Grade Level Categories Category 1 Actions Edit Delete There are no Participants. Add Participant Maximum number of participants reached. Non-Participant Registration*Please enter the number of guests attending with the student. There will be a $5 charge for each attendee.Payment SectionNon-Participant Registration QuantityPlease enter the number of guests attending with the student. Price: Total from Student Entries Price: $0.00 Total OwedPlease 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
