6: 30 p m. Special Guest Speaker, Coach Mike Smith



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olusia-Flagler Fellowship of Christian Athletes




Night of Champions

Fundraising & Celebration Dinner
Thursday, April 6, 2017

6:30 p.m.
Special Guest Speaker, Coach Mike Smith

Current Tampa Bay Bucs Defensive Coordinator

Former Atlanta Falcons Head Coach

Graduate of Father Lopez High School
Celebrating all God has done through FCA!

Honoring all 2016-2017 Huddle Coaches & Officers

Testimonies from Huddle Coaches & Officers

Recognizing 2016-17 Servant Athletes of the Year
Tomoka Christian Church

1450 Hand Avenue

Ormond Beach, FL 32174


Name: _______________________________________________ School: ______________________________________
Address:______________________­____________________________________________________________________
City: ______________________________________________________________ St:________ Zip: _______________
Phone: ( ___) __________________________ Email: ___________________________________________________
Indicate number attending (Dress: Semiformal)

*Please indicate number of each in blanks below

and provide info for each on back.
_____ Students - $15.00

_____ Coaches - $15.00

_____ Huddle Coaches - Free

_____ Other Adults - $50.00



_____ Campus Table Host - $350
$_________ TOTAL AMOUNT

to be charged or of enclosed check
Credit Card Payment: _________Visa _________MC _________Discover _________American Express
Card#___________________­­__________________________________________ Exp Date:_________/__________

Name as it appears on the card________________________________________________________________________

(Seats not guaranteed until payment is received – please complete billing address above if using credit card payment)



Make Checks Payable to & Mail to:

FCA

P.O. Box 731302

Ormond Beach, FL 32173
Mail or Email Registration Form & Payment by

Thursday, March 30, 2017
REGISTER ONLINE by March 30th at:

www.volusiafca.org or www.flaglerfca.org

Direct questions to:

cgartner@fca.org


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