Grades: Fall Semester 4-5th Graders
Event Timing: July 10th-14th, 2017
Event Address: 7431 E 91st Tulsa, OK 74133
Contact us at 918-252-1679 EXT 114 or jtucker@faithtulsa.org

Child's Name
Child's Name
Parent's Name
Parent's Name
Primary Phone Number
Primary Phone Number
What days will you attend? Check all that apply.
Dietary Restrictions
I do hereby give my express written consent for the use of my child’s image or voice in photographs, audio and/or video recordings taken during Faith United Methodist Youth activities for the purpose of publicizing the programs of Faith United Methodist Church and The Oklahoma Conference of the United Methodist Church. Sign Below:
I understand that I will have to pay $50 Per Child on first day. In person Cash or Check.