Registration for LMBC's Philoxenos Youth Group in person on *June 16th*, 2021
We will be going on a Photo Scavenger Hunt Wednesday, June 16th at 7-9 pm.
Sign in to Google to save your progress. Learn more
Full Name: *
Contact email address:
Contact phone number:
Please note:  I understand that I should not attend if someone in my household has a fever, cough, sore throat, runny nose, shortness of breath; or has been in close contact with someone who has tested positive for COVID-19. *
Required
Your contact information will be held by the church office for 2-3 weeks for contact tracing purposes.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lindenmb.org. Report Abuse