Event registration
Date: September 18, 2021
Where: Country Club United Methodist Church (East Lawn)
Address: 400 W. 57th St. Kansas City, MO 64111
Contact us at (816) 444-1616 or office@countryclubumc.org
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Email *
Health & Safety Disclosure
We are still in the middle of the Covid-19 pandemic and want to ensure the health and safety of our participants. The first part of the morning will be outside sitting at round tables.
Our break out sessions will occur indoors and our church requires any person over the age of 2 to wear a mask indoors.
We highly recommend wearing a mask outdoors, especially if you are at a table with people you may not know.
While we can help minimize the spread of Covid-19 by taking these precautions, please know that in any public gathering, the risk of infection increases.

Our Covid-19 motto has been since we reopened for in-person worship is, Love God, Love Neighbor, please wear a mask.
Some of the requirements on this form may seem redundant, but we want to take every precaution we can to help keep you safe and informed.
First and Last Name (list each adult attending) *
Do you require child care? *
Please list names and ages of all children needing care *
Email (list all e-mail address of each adult attending) *
Phone Number (list all phone numbers of each adult attending) *
Which Breakout session will you attend (Guest 1) *
Required
Which Breakout session will you attend (Guest 2)
Which Breakout session will you attend (Guest 3)
Which Breakout session will you attend (Guest 4)
A copy of your responses will be emailed to the address you provided.
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