E-mail
*
example@example.com
Student's Name
*
First Name
Last Name
My Child will be attending the following:
Sunday, June 30th Movie Night-7pm Fellowship Room
Sunday, July 14th-Kickball and Ice Cream - 7pm
Sunday, July 30th-Bonfire
Emergency Phone Number
*
Please enter a valid phone number.
Emergency Contact Name
*
Must be 18 years old
My current grade:
*
6th Grade
7th grade
8th grade
High School
If Other, Please specify what you are bringing:
Name of student's School:
*
Submit
Should be Empty: