TheRise Registration - First Baptist Church Longview Texas

Student Contact Information

Name*

First Last

Parent or Guardian Email*

Address*

Street Address Address Line 2 City State ZIP Code

Parent / Guardian Phone*

Student's Phone

Can the student receive text messages?

Yes
No

Student's Email

Student Information

Member of FBCL?

Yes
No

Member of Another Church?

Student is a Guest of:

Age*

Date of Birth*

Gender*

Male
Female

Student's School

Grade Level

T-Shirt Size

Release Agreement, Image Waiver, & Time Away Forms

Download the Parent Packet and release forms below. Upload the completed forms using the field below. The Time-Away form is only for those students that will be leaving theRise early. Your registration is not complete until these waivers have been successfully submitted either below or in-person.

DOWNLOAD RELEASE FORM

Form Upload

Please upload your completed forms here.

Drop files here or

Registration Fees

Registration for The Rise is $75 per applicant.
**If you have credit available, select "Other" and you will be asked to input an amount. Please verify your credit with Vickie Brewer in the Church Office at (903) 212-3306.
If you are selecting "Pay In-person", please contact Vickie Brewer once you have submitted your form.

Registration Fee*

All online payments will be processed via PayPal.

Total Amount Due (Less Your Available Credit)

*This field is only for students applying credit from their FBCL account.

Name

This field is for validation purposes and should be left unchanged.