Thank you for serving Erie!

We are so excited that you are signing up! To sign up for a project, we'll need to gather some more details from you. Please fill out each page as follows.

PERSONAL INFORMATION

Legal First Name*

Legal Last Name*

Date of birth (MM/DD/YYYY)*

Month/Day/Year

Gender

Email*

Mobile Phone Number*

Would you like to receive certain communications (event reminders and last-minute information from group leaders and Baptist Resource Network) through text messaging?*

Yes

Home City*

Home State*

GROUP/CHURCH INFORMATION

Are you registering as an individual or as part of a group?*

Note: Each individual in the group will need to fill out their own registration.

Individual

Group

Church/Organization*

EMERGENCY INFORMATION

Emergency Contact Full Name*

Relationship to Emergency Contact*

Emergency Contact Preferred Phone Number*

ADDITIONAL INFORMATION

Special Accommodations Needed*

Will you plan on attending the Celebration Rally?*

Yes

T-Shirt Size*

Your Next Steps:

Select your Project(s)
Sign the Waiver
Sign the Code of Conduct