Professional Documents
Culture Documents
Winter Weekend Flyer
Winter Weekend Flyer
Who
Where
When
Why
Cost
REGISTRATION FORM
Student ______________________________________________________________________________________________________
Address__________________________________________________ City ____________________________ Zip ________________
Parent/Guardian Name ________________________________________________________________________________________
Signature __________________________________________________________ Home Phone ______________________________
School ________________________________________________________ Grade _____________ Gender
M
F
Please give this form, health/consent form and payment to your Team Leader or mail to Grand Rapids SouthWest
Young Life @ P.O. Box 503 Grandville, MI 49418. Questions? Contact Janie Derks @ 616-283-9300.