Middle School Fall Frenzy - December 13-15, 2019
This form will register only one middle school student. For more than one registration, please register each student separately.
Gender - Male or Female
Parent or Guardian Information
Parent(s) or Guardian(s) Names
Parent(s) or Guardian(s) Phone #
Please select the payment option below:
Deposit (Add $50.00)
Full Payment (Add $170.00)
Balance Due after Deposit (Add $120.00)
I will bring my payment to the church office.
The email address below should be the parent or guardian's email address.
Your Email Address
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