MBT Teen Registration | Buckeye Teen Harvest Rally

Individual Registration

Note: If you are attending with a church, you do not need to fill out this form.

General Information

Your Name *

Your Phone *

Your Address *

Your Address

Your Email *

Sponsor

Yes

Do you attend Mansfield Baptist Temple? *

Yes

No

Church you attend:

Remember: The event will not be at Mansfield Baptist Temple. It will be located on a field near the church. The address for this event is 998 Beal Road Mansfield, Ohio 44905.

Please contact Brandon Brater if you have any questions.
Church: 419-589-5413 Ext. 114
Email: bbrater@mbt.org

Total Cost

$

Payment Method *

Online (PayPal)

By Mail

At Event

reCAPTCHA

If you are human, leave this field blank.

Waiver Form

IMPORTANT: Youth sponsors and teens are required to present a filled-out waiver to be allowed to participate in the Harvest Rally.

Go to Form

Info

FAQ
About
Colleges and Camps
Give Feedback
Manage Contact Preferences
Contact Us

Individual Registration

General Information

Waiver Form

Info

Activities

Media

Waiver

Register