Quinceanera Application - Playas

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

Please fill out the application below.

Quinceanera Participant's Information

*Participant's Full Name:
*Participant's Address:
*Participant's Email Address:
*Participant's Home Phone Number (ex: xxx-xxx-xxxx):
*Participant's Cell Phone Number (ex: xxx-xxx-xxxx):
*Does Participant Attend EastLake Church?:
If yes, how long has Participant attended EastLake Church?:
Parent's Information
*Parent's Full Name:
*Parent's Address:
*Parent's Home Phone Number (ex: xxx-xxx-xxxx):
Parent's Work Phone Number (ex: xxx-xxx-xxxx):
*Parent's Cell Phone Number (ex: xxx-xxx-xxxx):
*Does Parent attend EastLake Church?:
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.):
Quinceanera Details

*We would like the Quinceanera to be held at EastLake Church.:
If no, what is the name and address of your off-site location?:
*Desired Quinceanera date:
*Desired Quinceanera time:
*Desired rehearsal date:
*Desired rehearsal time:
*Please list your first choice in Pastor to perform the ceremony.:
*Second Choice:
*Third Choice:
Submit Form