Messy Church Santa Monica Registration Form
Welcome!

We make our best efforts to accommodate dietary needs for each dinner. Please list any MEDICAL / ALLERGY / DIETARY concerns or needs under the Comments section.

The information supplied on this form will be retained by our church on a database and will be used only for the administration of the Children & Family Ministry of First UMC. It will not be disclosed to any third parties.
Chapel time for stories and music!
Today's date *
MM
/
DD
/
YYYY
NAME - Adult 1 / Parent 1 *
EMAIL - Adult 1 / Parent 1 *
PHONE - Adult 1 / Parent 1 *
TEXT OK? *
Required
Address
NAME - Adult 2 / Parent 2
EMAIL - Adult 2 / Parent 2
PHONE - Adult 2 / Parent 2
TEXT OK?
COMMENTS or QUESTIONS
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