Register for Fourth of July Youth Celebration

Register for the Fourth of July Celebration Fun!

Please register by Sunday, July 2.
All events are happening at the Holloways' home, 301 S. Valley Road, Xenia.
6:30-9:30pm

Father/Son Golf Scramble at Gnarly Greens*
Gnarly Greens is a par three course designed and maintained by J. Holloway and J. Rock. It will challenge golfers of every skill level.

Mother/Daughter Homemade Ice Cream Social
There will also be bocce ball, cornhole and volleyball available. Feel free to bring your own lawn game(s). Please bring your own lawn chair(s).

If you need an adult or a youth to partner with for the event, please let Pastor Van know; we want everyone to be included!

Register for the Father/Son Golf Scramble or the Mother/Daughter Homemade Ice Cream Social

Name of Adult *

First

Last

Name of Youth *

First

Last

Phone Number *

Name of Parent or Legal Guardian *

First

Last

Please Match Me with an Adult or Youth *

I need to be partnered with an adult. I need to be partnered with a youth.

Parent or legal guarding, by checking this box, you are authorizing your youth to participate in all activities at the Holloways' home under the care of EBC Youth Program. *

Yes, I give permission. No, I do not give permission. Please contact me for specifics.

Submit