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Water Wars

Registration Form

Childs Name: _________________________


Childs Age:_______ School Level:________
Parent/Guardian:______________________
Address:______________________________
_____________________________
Phone:_______________________________
E-mail (optional):__________________________
Allergies:_____________________________
Member of SCUMC:
Yes
No
***** For safety & security reasons for SCUMC non-members this event is for
children kindergarten age or older & a parent/guardian must be present during the
entire event! Thank you for your understanding. *****
Please return this form no later than July 1st to:
SCUMC Education Committee
c/o Jessica Masser
2142 William Penn Avenue
Johnstown, PA 15909

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