Water Wars - Registration

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

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 nonmembers 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 August 21st to:


SCUMC Education Committee
c/o Jessica Masser
2142 William Penn Avenue
Johnstown, PA 15909
or email: jessicaya@pcom.edu

You might also like