One moment please...
5-Day Club Host Registration 2023
Thank you for your willingness to host a 5-Day Club in your community this summer. Please complete this short registration form so we know when and where you would like to have your club. Spots will be filled on a first come first served basis.
Host Contact Information & Responsibilities
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Club Advertising and Promotion
*
The success of your club depends on getting the word out to families with children in your community. We depend on our hosts and/or their churches to do all of the advertising and promoting for their 5-Day Club. Please indicate that you are willing to accept this responsibility. (CEF will provide customized printable flyers for your location.)
Agree
Disagree
Club Snacks
*
Providing a light snack each day for children is optional. If you are willing to provide snacks at your location please let us know here. Snacks are also a great way to involve other people from your church. Snacks can be as simple or as elaborate as you wish.
Agree
Disagree
Club Registration
*
Please indicate that you or someone from your church will assist with registration at your 5DC each day. We will provide check in sheets on the first day of club. These will be used to keep track of attendance as well as allow your church to follow up with families after the week is over.
Agree
Disagree
Church Information
Church Name
*
Pastor Name
*
Pastor's Phone
Pastor's Email
Verify Email
5 Day Club Location Information
Club Location
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Island
*
select one
Big Island
Maui
Oahu
Kauai
Molokai
Lanai
Niihau
Kahoolawe
Housing & Transporation
If we have to send a team of teens from a different island to help lead the 5-Day Club at your location, will you or your church be willing to provide housing and transporation (on island)?
select one
Yes!
I'm not sure.
No.
I will find out.
Club Location Type
*
Church
School
Park
Backyard
Community Center
Other
Club Location Type
If you selected other, please indicate what type of location your club will be held at here.
5 Day Club Date Preferences
First Choice 5DC
*
Please indicate your preferred week to host a 5-Day Club.
select one
June 12-14 (Mon. - Wed. Only)
June 19-23
June 26-30
July 10-14
July 17-21
Second Choice 5DC
*
Please indicate your second preferred week to host a 5-Day Club.
select one
June 12-14 (Mon. - Wed. Only)
June 19-23
June 26-30
July 10-14
July 17-21
First Choice 5DC Time of Day
*
Please indicate your preferred time of day to host your 5-Day Club.
select one
Morning (8:30 a.m - 11:30 a.m.)
Afternoon (12:00 p.m. - 4:30 p.m.)
Evening (5:00 p.m. - 7:30 p.m.)
Second Choice 5DC Time of Day
*
Please indicate your preferred time of day to host your 5-Day Club during your second choice of weeks.
select one
Morning (8:30 a.m - 11:30 a.m.)
Afternoon (12:00 p.m. - 4:30 p.m.)
Evening (5:00 p.m. - 7:30 p.m.)
Exact Start Time Preference for First Choice
*
Please indicate your preferred start time for your 5-Day Club.
Exact Start Time Preference for 2nd Choice
*
Please indicate your preferred start time for your second preferred week of 5-Day Club.
