Ferris Lane Community Church
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Ferris Lane Community Church Vision
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Senior Pastor - Reverend Mark W Coulter
Associate Pastor - David Potter
Outreach Ministries Director - Krista Halbert
Youth Pastor - Amanda Paterson
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Ferris Lane Youth Group Fun Run Registration Form
Please fill out this form to pre-register for the August 4th, 2018 Fun Run. By submitting this form and associated payment, you will be eligible receive a registration gift (while supplies last).
Your Name
*
Your contact details are being collected for the sole purpose of registration for the Fun Run, and issuing charitable receipts after the event. We will not share, or sell your information to any third parties.
First Name
Last Name
Your Email
*
Phone
*
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Antigua and Barbuda
Bahamas
Barbados
Belize
Canada
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Nicaragua
Panama
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Columbia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Côte d\'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
Distance/Race
*
>
5K - $20 Minimum Donation
2K - $20 Minimum Donation
Kids: 6 & Under - $15 Minimum Donation
Kids: 7-10 - $15 Minimum Donation
Kids: 11-14 - $15 Minimum Donation
Donation Onlly (not running/walking)
Payment Notes
Please email your registration donation to ferrislanegives@rogers.com (no security question necessary, but please note that it is for the Fun Run in the message to recipient) or bring a cheque or cash (exact change) to the race on August 4th. Charitable donation receipts will be provided for all donations $15 and above. Cheques should be made payable to Ferris Lane Community Church. If you are emailing your donation, please note the name of the account holder below so that your donation can easily be matched to your registration.
Team Name
If you are part of a team, please note below so that we can gather your details for team spirit prizing eligibility
NOTE: Do Not Alter These Fields:
Subject