Form Description
2019 Atlanta Youth Missions Trip Payments

The youth will be traveling by vans to the Atlanta Dream Center in Atlanta, GA June 9-16.  We will be partnering with the Atlanta Dream Center to do outreach with children, the homeless, and put together a large outreach program.  This will be open to students currently enrolled in grades 7-12.  The cost of the trip is approximately $700.  Those interested will have the chance to participate in fundraising to help offset the cost of the trip.  The deadline for this form and the $50 deposit is January 23rd. This will be a wonderful growth experience for your student, you don't want to miss out!  

2019 SuperStart! Adult Involvement

Thank you for being willing to jump in to help make SuperStart! an amazing weekend for our preteens!

Please fill out the form below with any role you are willing to fill. We will contact you to discuss further details. If both you and your spouse are planning to be involved, please fill another form for them.

All adults will also be required to have a current background check (within the last 2 years) on file with the church. When we receive this form, we will let you know if you need to fill out a background check.

2019 SuperStart! Registration

SuperStart! is an EXCITING weekend event for 4th and 5th graders.  The 2-day conference will take place at Eastview Church in Bloomington on March 1 & 2.  There will be an overnight event on Friday, March 1 at First Assembly.

The event begins at 6:00pm March 1 and ending at 3:30pm March 2.  Transportation will be provided to and from the event.  

Early bird registration cutoff is January 30.

A 2019 Permission Slip must be on file. There is a link in the confirmation page that will follow.

A medical release form from SuperStart will be sent upon registration and must be filled out prior to the weekend of the event.

2019 Unite Retreat Scholarship Donation

The Unite Winter Retreat Scholarship is a great way to invest in our students lives! It will be one of the main events for our students this year and will be practical and life changing. Our goal is to have 100 students attend, but we anticipate having 30 students that are in need of some financial help to get them to the retreat. Will you help us send our students to camp?

2019 Unite Winter Retreat

Please use this form to register your student for the Unite Winter Retreat. We will leave the church around 6:00pm on Friday, March 1st and will return Sunday, March 3rd around 12:00pm.

Unite Winter Retreat will take place at Little Galilee Christian Camp

The cost is $125 and covers food, transportation, and lodging at the campgrounds.

Please fill out a digital permission slip using link that will be available on the confirmation page after filling out this form.

2019 Youth Missions Trip Application

Filling out this form means that you are applying to go on the 2019 Missions trip to the Atlanta Dream Center in Atlanta, GA. We will primarily work with children, the homeless community, and put  on a large outreach. We will have a couple training days and fundraising leading up to the trip. The trip is June 9-16th and is approximately $700. ***You must currently be in 7th-12th grade to be eligible to go on this trip.  

Baby Dedication Request

If you would like to have your baby dedicated to the Lord, please complete this form and submit.  

Couples Fun Night (Engaged & Married)

Do you need some quality time together as a couple just to relax & have some fun?                  

After enjoying a wonderful dinner together, please come join other couples here at First Assembly for a night of fun activities & laughter.

The cost is only $10.00 per couple.

Childcare is being offered at the church beginning at 5:00pm. If needed the total cost will be $15.

This fun night is being held in the Lobby Coffee Cafe on Friday, Feb. 15th 7-9 PM. 

Financial Peace University

Want to be DEBT FREE? 

Financial Peace University is Dave Ramsey’s #1 proven program that will show you how to master budgeting, pay off debt, build wealth, and give generously. FPU is a 9-week course that you will benefit from for the rest of your life!

We truly believe this can bring financial freedom for your family.  This course cost $125 but because we believe in this so much First Assembly is investing the first $25 for each family.

Please use this form to register and/or donate to help scholarship a family to be able to attend FPU. If you are registering, please answer all questions that apply. If you are only providing a scholarship, please insert your information and then scroll to the bottom to enter the amount you wish to donate.

Facilitators for FPU: Matthew and Summer McKee with Ron and Cindy Theobald. 

Dates: February 6 - April 3

Time: 6-8pm Wednesday Nights

Location: Missions House Meeting Room. Lower Level. 


Growth Track


Growth Track is the BEST PLACE for those new to First Assembly, new to following Jesus, or those wanting to be more involved in what God is doing at First Assembly. 

Growth Track is a four-week conversation group designed to SUPPORT and GROW people in their faith walk at First Assembly.

Growth Track meets each Sunday morning at 8:30 AM in the Conversation Room located in the lobby just beyond the Café.

Legacy Senior Ministry Survey

Legacy is a senior adult ministry group that meets Thursdays, 10:00 a.m. to 12:00 p.m. It is our sincere desire to address the needs, concerns, and interests of our senior members. Because we want to serve you better in Christ's name, we ask a clearer picture of what is taking place in our church and community, and what we can do to build stronger senior adult ministries. 

As we look to our future and our move to improve the First Assembly campus, we hope to offer you a variety of engaging and enriching activities to help you grow as Disciples of Jesus. 

Thank you for participating in this survey, please complete this form. 

Life Group Leader Group Details

If you are interested in leading or facilitating a Life group, please complete this detail form.  

Life Group Leader Possibility

If you are interested, THINKING ABOUT,  in leading or facilitating a LIFE GROUP, please (pretty please) complete this basic form.  We will contact YOU shortly, because YOU MATTER!

Membership Application

Being a member of a church has many benefits. Just attending the class, you will feel more connected to the heart of this church family. There is a shift that happens when you consciously decide to take this step.


Membership will make you feel like you are part of something bigger than yourself. There's nothing that compares to joining the people of God at salvation, but church membership allows you to live that out at First Assembly Bloomington-Normal.Join us for November 18th during the second service on Sunday. 


Middle School Sky Zone Event

This form is to pay for the Sky Zone Event in February 1st. The cost is $12 and that includes 1 hour of jump time, socks, and an ice cream party afterwards. Please fill out our 2019 permissions form as well as the Sky Zone Permission Slip, both are required. 

Please drop your student off at Sky Zone at 7:45pm to get checked in. Sky Zone is located 300 McKnight Dr Normal. Then we will transport your student to Pastor Jose's House located at 3205 Viney Ln, Bloomington, IL 61704 and you will pick up your student there by 10:15.

No Regrets Mens Conference

Join us on Saturday, February 2 for an empowering conference for men. We will be live streaming the conference here at First Assembly.

No Regrets Men's Ministries is a worldwide men’s ministry committed to equipping local church leaders to disciple men who disciple men – empowering the next generation to multiply themselves by becoming servant leaders at home, in church, on the job and out in the world. Find out more at

Saturday, February 2
8:30am - 4:00pm

Parent/Guardian Contact Update

Please fill out this form so we can be sure emergency contact information is up to date for your child(ren). Fill out this form for each parent/guardian who will likely be bringing the child(ren) to church. 


By doing this, you are helping us to have accurate information on file in case we need to contact you during a service for an unconsolable infant or an emergency situation.


Providing us with the mobile carrier is necessary, as our check-in system needs it to send you a text message if we were to need you.

Permission Slip 2019 - NextGen Office

This permission slip is valid for any event in 2019.  A new one is required to be filled out each year.

Resource Reservation Form
Please complete this form if you are planning an event or need to reserve a variety of church resources.  This would include rooms and other miscellaneous needs that does not include vehicles.  There is often more than one group utilizing the building at the same time.  Therefore each reservation request will be considered weekly during staff meeting.  Please do not use this form if you are planning a wedding or baby dedication. 

If you need a vehicle, click here. You can also access the vehicle form from the confirmation page  after filling out this form. 

If you need publicizing through bulletin, video announcements, or online, please click here.SaveSave
Royal Family Kids Camp Fundraiser

Thank you for your donation to help start our local Royal Family Kids Camp!  We appreciate you!!

To learn more about Royal Family Kids Camp click here

Serve Form

Would you like to be a part of one of the exciting ministry teams at First Assembly? All you need to do is sign up to serve!

Begin by completing this form, and you will be contacted by someone from the area of ministry that you indicate you are interested in. Please choose only one at this time.

Unite Life Group Leader Accountability Sheet

Please complete this every two weeks. The purpose of this form is to evaluate the effectiveness of Life Groups and the content being given. 

Vehicle Use Request
Use this form to request the use of one of the church vehicles.  Vehicles are only available to approved drivers for official church purposes.
Young Adults Liability Form