NEUMC Movie Night Sign-Up

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NEUMC Movie Night Sign-Up

Please use this form to register your child/children for the upcoming Friday Movie Night! This registration does have a 50 child limit (we are sorry for any inconvenience) and a reminder that $2 will be collected at the door per child to cover the cost of snacks. If you have multiple children, please submit a response for each child planning to attend.

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* Indicates required question

Child's Name (First and Last) *

Your answer

Child's Age *

Your answer

Child's Grade Level *

Your answer

Parent(s) Name and Phone Number *

Your answer

Other Emergency Contact Name and Phone Number *

Your answer

Any Allergies (snacks or beverages)

Your answer

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