We are so excited for you and look forward to helping you prepare for this important day.

Please fill out the Quinceanera Application below.

Quinceañera

First Name

Last Name

Email

Campus

Home Phone

Mobile Phone

Parent's Work Phone Number:

Does Parent attend EastLake Church?:

No Yes

If yes, how long has Parent attended EastLake Church?:

Is Parent a member of EastLake Church? (Membership means you've attended Church 101 and signed the membership covenant.):

No Yes

We would like the Quinceanera to be held at EastLake Church.:

No Yes

If no, what is the name and address of your off-site location?:

Desired Quinceanera date and time:

Desired rehearsal date and time:

Please list your first choice in Pastor to perform the ceremony:

Please list your second choice in Pastor to perform the ceremony:

Please list your third choice in Pastor to perform the ceremony:

Participant's Full Name:

Participant's Address:

Participant's Email Address:

Participant's Home Phone Number:

Participant's Cell Phone Number:

Does Participant Attend EastLake Church?:

No Yes

If yes, how long has Participant attended EastLake Church?:

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