Student Ministry Pool Party

July 28 | 5-7PM | Middle and high school students get ready for a fun evening of swimming, fellowship and food! Join us at the Hull's pool and bring $5 to help cover the cost of dinner.

Reach out to Blake or the church office for the Hull's address.

Student Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

What grade did you complete this year?

Grade

*

Please select one option.

6 7 8 9 10 11 12

Parent/Guardian Information

Parent/Guardian Name

*

Parent/Guardian Relationship

*

Please select one option.

Mother Father Grandmother Grandfather Aunt Uncle Foster Parent Other

Parent/Guardian Phone

*

Parent/Guardian Email

*

Payment for dinner

Payment

Pay online ($5.00) Cash in person ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 28 | 5-7PM

Middle and high school students get ready for a fun evening of swimming, fellowship and food! Join us at the Hull's pool and bring $5 to help cover the cost of dinner.

Reach out to Blake or the church office for the Hull's address.

Please Fix the Following

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