Wonderfully Made Registration
Tween Human Sexuality Class

Saturday, February 23, 2019
9:00 am – 3:00 pm
Kirkwood UMC’s Student Lounge
Please register no later than Wednesday, February 20
COST: $20.00 per tween; includes a “Wonderfully Made” class book (yours to keep!), breakfast, snacks, lunch and beverages throughout the day. Please remember to bring cash or a check (made out to “KUMC”).  Thank you and we look forward to seeing you there!

*Parent First Name:

*Parent Last Name:

*Street Address Line 1:

Street Address Line 2:

*City: *State: *Zip:

*Parent Phone Number:

*Parent Email:

*Tween Name:

*Tween Age:

*Tween Grade:

*Tween Favorite Color:

*Tween Favorite Animal:

*Tween Favorite Food:

*Special Needs or Concerns for Student?:

Parent's Attending Student/Parent Session on Sunday, February 17 at 10 am in the KUMC Conference Room? Yes/No:

Please contact KUMC Youth and Familes Minister Jess Horsley with any questions, comments or concerns.