Rekindle the Flame 2026 Online Event Registration With Meal Options

Rekindle The Flame Registration

Revival that rekindles the soul of the brokenhearted – Register Today!
Mt. Bethel Church

4385 Lower Roswell Road Marietta, GA 30068
07/22/2026 - 07/25/2026
ADULT REGISTRATION 18+

Please list the names of all ADULT guests. There will be an option below to add CHILDREN ages 17 and under. Please do not add them here.
Adult Guest #1

First NameLast Name
Adult Guest #2

First NameLast Name
Adult Guest #3

First NameLast Name
Adult Guest #4

First NameLast Name
Adult Guest #5

First NameLast Name
Adult Guest #6

First NameLast Name
Address of Primary Adult

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Primary Adult
example@example.com
Phone Number of Primary Adult
Format: (000) 000-0000.
CHILDCARE REGISTRATION 17 and under

Please list the names of ALL CHILDREN in the corresponding boxes below, based on age.
Please list the NAMES AND AGES of ALL children NEWBORN TO 5 YEARS that will be attending with you:
NAME AND AGE NEWBORN TO 5
Please list the NAMES AND AGES of ALL children 6 YEARS TO 11 YEARS that will be attending with you:
NAME AND AGE 6-11
Please list the NAMES AND AGES of ALL children 12 YEARS TO 17 YEARS that will be attending with you:
NAME AND AGE 12-17
EVENT INFORMATION

Rekindle Registration ADULTS 18+

Please select the number of ADULT guests AGES 18+ ONLY

$50.00 Quantity
Item subtotal:

Thursday Lunch ADULTS 18+

Please select the number of ADULT guests AGES 18+ ONLY

$12.00 Quantity
Item subtotal:

Thursday Lunch CHILDREN 17 and under

Please select the number of CHILD guests AGES 17 and under

$6.00 Quantity
Item subtotal:

Thursday Dinner ADULTS 18+

Please select the number of ADULT guests AGES 18+ ONLY

$12.00 Quantity
Item subtotal:

Thursday Dinner CHILDREN 17 and under

Please select the number of CHILD guests age 17 and under

$6.00 Quantity

Friday Dinner ADULTS 18+

Please select the number of ADULT guests AGES 18 + ONLY

$12.00 Quantity

Friday Dinner CHILDREN 17 and under

Please select the number of CHILD guests age 17 and under

$6.00 Quantity

Enter coupon

Total

Rekindle The Flame Registration