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Rooted Registration
6th thru 12th grade
Starts Sunday, September 12th for 11 weeks
4-5PM
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* Indicates required question
Child 1 Name, birthdate, grade and school attended
*
Your answer
Child 2 Name, birthdate, grade and school attended
Your answer
Child 3 Name, birthdate, grade and school attended
Your answer
Parent/Guardian's Name or Names
*
Your answer
Parent/Guardian's Address
*
Your answer
Parent/Guardian's Phone Number
*
Your answer
Parent/Guardian's Email address
*
Your answer
Food Allergies
Your answer
What do you most hope your child gets from this experience?
Your answer
Anything else we need to know?
Your answer
Participation here at FUMC
*
Attend Vates Street Campus Regularly
Attend Worship Online Regularly
New Visitor
Partner in Ministry/Member
Required
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