FCA Youth Night Registration

Form
Welcome to the 174th Auglaize County Fair, "Freedom, Family, Red, White, and Fair!"

This year, for the first time, the Gospel Tent is hosting FCA Youth Night with Worship Anyway and Revive Ohio and OSU Basketball Star, Aaron Craft!

The Fairgrounds would like to encourage and invite all FCA Youth Members to attend this event at a discounted rate of...FREE! Please fill out this form with a working email and information for us to send a DAILY PASS to get into the fair for:

TUESDAY, AUGUST 4th

The event is scheduled for 8:00 PM to 10:00 PM!

Bring your friends! You do not need to be an FCA member to attend the event, it is open to all youth!
Name

First NameLast Name
Age Number (This is for 18 and under only)
Birthdate

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty: