Flint Mission Registration
Event Timing: Sunday, July 21st 4:00 - Friday, July 26th noon
Event Address: St. Mary, 4413 Morrish Rd, Swartz Creek, MI 48473
Contact our registration coordinator Gabby Horak at horak1g@cmich.edu for questions.
Name *
Your answer
Parish *
Your answer
Youth Minister *
Your answer
Sex *
Date of Birth *
MM
/
DD
/
YYYY
Age *
Your answer
T-shirt Size *
Address *
Your answer
City *
Your answer
Zip *
Your answer
Student Email *
Your answer
Parents/Guardian's Names *
Your answer
Parent Email *
Your answer
Parent Phone Number *
Your answer
Emergency Contact #1 Name *
Your answer
Emergency Contact #1 Phone Number *
Your answer
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