Bryan Awakening

506 Oxford Dr.
Bryan, OH 43506
ph: 419-636-4208
bryanawakening@bryanawakening.org

Registration

Guests should be between the ages of 14-18 and have completed one year of high school.

*First Name:

*Last Name:

*Email:

*Mobile Phone:

Contact Preference:

Date of Birth mm/dd/yyyy:

Address Line 1:

Address Line 2:

City:

State/Province:

ZIP/Postal Code:

Gender:

Male Female

School you attend and grade last completed:

Parent or Guardian Name:

Sponsor's Name:

Sponsor Phone Number:

Why do you wish to attend the Awakening?

Do you belong to a church? If yes, please give the name, address and pastor's name:

Submit Your Message:

The Awakening is a ministry of First Presbyterian Church of Bryan, OH and Lampstand Ministries

506 Oxford Dr.
Bryan, OH 43506
ph: 419-636-4208
bryanawakening@bryanawakening.org