DODGEBALL

Starting Wednesday, November 3rd
Grades 1-3 from 6pm-7pm
Grades 4-6 from 7pm-8pm

At First United Methodist Church
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Register below:

CLICK HERE TO DOWNLOAD DODGEBALL REGISTRATION FORM

Dodgeball Registration

* Indicates required field

Participant's Name *

First

Last

Participant's Grade *

Participant's Address *

Line 1

Line 2

City

State

Zip Code

Country

Guardian #1 Name *

First

Last

Guardian #1 Email *

Guardian #1 Phone Number *

Guardian #2 Name *

First

Last

Guardian #2 Email *

Guardian #2 Phone Number *

In Case of Emergency, please provide contact information below: *

Is Participant Allowed to Walk Home? *

Allergies *

Please Check if your child has any of the following: *

Asthma Diabetes

Name of Insurance Company *

Policy # *

Policy Holder *

Submit