Broomball Sign-Up
Please fill out a form for each youth (6th-12th grade) that will be attending the Broomball event at AZ Ice Peoria with North Valley Community Church on Wednesday, July 11th at 4:45 PM. You will receive more detailed information through the email that you provide on this form.

The cost for this event is $10/youth.

Before attending this event, you must fill out a permission slip and turn it in to Ali Murray or email it to students@northvalleychurch.org. Use this link for a permission slip: https://s3.amazonaws.com/churchplantmedia-cms/imago_dei_community_church/annualpermissionslip2018.pdf

Participant's First Name *
Your answer
Participant's Last Name *
Your answer
Participant's Grade Level *
Parent's Name *
Your answer
Parent's Email *
Your answer
Parent's Phone Number *
Your answer
Participant's Phone number (optional)
Your answer
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