For Admin Use Only
Enter project details below to be merged into confirmation e-mails.
Project Name
Project Date
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Month
-
Day
Year
Confirmation Details
We will be in touch with the details as we get closer to the date, but let us know if you have any questions between now and then. Thanks for serving!
Include any additional details you'd like provided in the confirmation e-mail
Lighthouse Mission Ministries Agape Playroom Response Teams Signup
Feeling creative with a paintbrush or maybe a roller is more your style? We will be sprucing up the Lighthouse Mission Agape Home playroom for the women and children residing there. You don’t have to be Picasso just present. Come and serve with us Saturday October 19th from 9 am to 4 pm to kick off the first day of this two day project with a fresh coat of paint!
Participant Name
*
First
Last
Age Range
*
Select Your Age Range
Under 13
13-17
18-35
36-50
51+
Registration Prepared By
Participant
Parent/Guardian
Parent/Guardian Name
*
First Name
Last Name
{PreparedBy} Phone Number
*
123-456-7890
{PreparedBy} Email
*
Have you ever participated in Response Team project?
*
Yes
No
Have you completed a Response Team waiver in 2024?
*
Yes
No
Do you have any specific skills or areas of interests we would want to know about? (none required to participate)
Register
Continue to Waiver
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