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Hay Day Co-Mooo-nity Barnyard Bash Weekend Registration Form
$15 PER HOUSEHOLD. Pay online at
https://abundant.co/larchmontunitedmetho/hayday
Reserve your spot by June 5.
If you have any questions or need financial assistance, please contact
education@larchmont.org
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* Indicates required question
Email
*
Your email
How many attendees are coming from your household?
*
Your answer
Adult attendee #1 name
*
Your answer
Adult attendee #1 cell
*
Your answer
Adult #2 attendee name (if applicable)
Your answer
Adult #2 attendee cell
Your answer
Child #1 attendee name
Your answer
Child's #1 age
Your answer
Child #1 - Date of Birth
MM
/
DD
/
YYYY
Child #1 - Last school grade completed
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip
*
Your answer
Home Telephone
Your answer
Home email address (if different from above)
Your answer
Home church (if not Larchmont United Methodist)
Your answer
Allergies or other medications
Your answer
In case of emergency, contact name
*
Your answer
In case of emergency, phone
*
Your answer
In case of emergency (ICE), relationship to adult or child
*
Your answer
How will you pay your fee?
*
Mailing in or dropping off a check (Make out to Larchmont United Methodist Church, put Hay Day on memo line)
Online -
https://abundant.co/larchmontunitedmetho/hayday
Contact me about scholarship needs
Do you have more children to register?
*
Yes
No
NOTICE OF FILMING OR PHOTOGRAPHY
By entering the premises of LUMC, you are entering an area where photography, audio, and video recording may occur. By doing so, you consent to use by LUMC.
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