Children's names and ages who will be attending: *
Your answer
Home address: *
Your answer
Telephone number: *
Your answer
Additional e-mail address:
Your answer
What dates are you planning to attend? *
Required
COVID-19 Guidance: As the event draws closer, we will analyze the most current guidance as provided by local, state, and federal officials and provide you with up-to-date information regarding safety procedures.
By registering, I understand that I am giving permission to receive future information regarding MUMC's Children & Youth Programming. *
I will provide the following for the event: *
A copy of your responses will be emailed to the address you provided.