Movie Night Sign-up - November 23, 2019
Please fill in the information below to sign up for our Fall Movie Night. We will be transforming the church foyer into "The EBC Theater."

- Date: Saturday, Nov 23
- Place: EBC
- Time: 5:00 - 8:00 PM
First Name *
Your answer
Last Name *
Your answer
Age *
Grade *
Emergency Contact Name *
Please provide a person for us to contact in case there is an emergency.
Your answer
Emergency Contact Number *
Please provide an emergency contact phone number for the person listed above.
Your answer
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