Middle School Bump City

Friday, June 5th, 9:30 pm-Saturday, June 6th, 7:30 am. Cost is $25.00. Download the Adult Child Release form and bring the completed form the night of the event.

Adult Child Release Form.pdf
(Adult Child Release Form.pdf - 64 KB)
Release for that needs to be signed by parent or guardian prior to the night of the event.

Contact Information * required

First Name *

Last Name *

Home Phone *

Mobile Phone

Email *

* Notes

Student first name attending Bump City event *

$25.00 per student

Student last name attending Bump City event *

Student first name attending Bump City event

$25.00 per student

Student Last Name attending Bump City event

I would like to payonline for this event. *

ONCE YOU RECEIVE YOUR CONFIRMATION CODE UPON COMPLETION OF THIS FORM, YOU WILL BE ABLE TO SELECT "GIVE ONLINE".

Yes
No

Total

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TOTAL	$ 0.00