Ukulele Church Registration

Ukulele Church Registration

A Sunday Hour of Christian Song, Prayer, Art and Ukulele Learning
Sundays

12:30pm Atlantic Time

1:00 pm Newfoundland

11:30am Eastern Time

10:30am Central Time

9:30am Mountain Time

8:30am Pacific Time

9:00pm India Time

Thanks for telling us who (and where) you are. Please fill out a separate registration for each registrant.

We'll see you on Sunday!
Ukulele Church is sponsored by the Atlantic Regions of The United Church of Canada

and supported by the Edge Foundation of the United Church of Canada

and the Mary Stuart van Mater Fund
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Age
(Adults may write 100)
Your birthday (month and day)
I am a:
Do you know how to play ukulele?

Other
Anything you would like us to know? (special needs, diversability, scheduling, home story, recent events...)
Would you allow your image or video clip to be used for Ukulele Church purposes, including web presence, poster or workshop video demos, etc
How did you learn about Ukulele Church
Should be Empty: