MAHEC Monday Box Request

After you fill out this MAHEC Monday Box Request, we will contact you with the event registration information (virtual event information) and how to submit payment to cover supplies. Please be sure to check your email during the next few days, including your spam!

If you have any questions, please contact our office directly via telephone at 660-665-6404.

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Email *
What's your first and last name? *
Address *
City *
State *
Zip code *
Phone number *
Preferred contact method *
Do you have ANY allergies? If so, please list:
That's it, you're finished with this part! You can expect to receive an email from us with more information regarding how to log in for the actual virtual events as well as a parental consent form since there will be sharp objects involved in some of the activities! Can't wait to see you soon! *
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