WBLUMC Children's Family Registration
Program year 2017-2018
Adult First Name *
Your answer
Adult Last Name *
Your answer
Adult's email address *
Your answer
Adult's preferred phone number *
Your answer
What type of line is this? *
May we text you? *
Street Address *
Your answer
City *
Your answer
Zip code *
Your answer
Additional email address from this home (optional)
Your answer
Would you like more than one household to receive Children's Ministries communication? *
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