Covenant Churches of East Texas

Fight Time 2026 Registration

Attendee First Name

Attendee Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Are you part of our Conference Crew? (volunteering, staffing the conference)

Yes

No

Will you need childcare?

Yes

No

Childcare Disclaimer

Children between the ages of 0-2 will be cared for by Christ the Redeemer staff on-site at Covenant Church. Children up to age 11 will be cared for off-site at Christ the Redeemer Christian Academy. Parents will need to plan to drop children off and pick them up (3 - 11 years old) at their facility located at 247 S. Barron St. Rusk, TX. 75785

By electronically signing below, you are agreeing to allow Christ the Redeemer to care for your children who are 3-11 years at their facility, 247 S. Barron St. Rusk, Tx. 75785

Signature

Student Emergency Contact Form

In the event of an accident or medical emergency, do you give permission to transport your child to the nearest medical facility?

Yes

No

Emergency contacts preferably need to be someone who will not be attending the conference that we can call in addition to letting you know of an emergency that may occur

Please list the details of two people to be contacted in the event of an emergency

Primary Emergency Contact

First Name

Last Name

Relationship

Cell Phone Number

Secondary Emergency Contact

First Name

Last Name

Secondary's Relationship

Secondary's Cell Phone Number

Medical Contacts

Please provide details of the emergency care facility that you would like to use in the event of an emergency

Facility's Name

Facility's Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Facility's Phone Number

Fight Time 2026 Registration

Childcare

Childcare Disclaimer

Student Emergency Contact Form

Primary Emergency Contact

Secondary Emergency Contact

Medical Contacts

About

Service Times

Contact Info

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