Nappanee United Methodist Church
Monday, September 06, 2010
Knowing Christ and Making Christ Known

FROG (Fully Rely On God)

Children's Program Registration Form
F R O G
Fully Rely On God
Nappanee United Methodist Church
Wednesdays,  6:15 - 7:15 pm
Beginning September 8
Kids Age 3 - Grade 5
Questions? 574-773-4183 * napumc@bnin.net
 
 
Child's Name:
 
Child's Age:   Date of birth:   Current grade:
 
Name of parent(s):
 
Street Address:
 
City: State: ZIP:
 
Home Phone: Cell Phone:
 
E-mail Address:
 
In case of emergency, contact:
 
Relationship to child:
 
Allergies or other medical conditions:
 
Home Church: