Name *

First Name

Last Name

Phone

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you participated in any FCA events before?

Check all that apply.

Community Huddle (Dream Center)

Summer Camp

School Campus Huddle

Student Youth Employment Program

Volunteering

Other

Do you attend church?

Yes, I consistently go with a family member or friend.

Yes, I consistently go by myself.

Yes, I go once in a while (holidays, etc.)

No, I would like to go, but there are reasons I do not attend.

No, I 'm not interested in attending.

Do you agree to follow the FCA policy below on inter-denominational ministry?

FCA’s ministry presents Jesus Christ as Lord and Savior by evangelism through fellowship. FCA centers on our relationship with Christ and others rather than promote any particular denominational issue. Certain doctrinal issues (such as speaking in tongues, healing, prophesying and baptism) are a part of the Christian experience for many; however, FCA chooses not to focus on these but on the Gospel of Christ.

Yes

No

I have reviewed FCA's Christian Community Statement with an FCA staff person or certified teacher sponsor and...

I agree with FCA's Christian Community Statement and will conduct myself in accordance with FCA's CCS, including, without limitation, FCA's Christian Beliefs, and community standards.

I disagree with FCA's Christian Community Statement.