Zoo Atlanta Night Crawler Reserve Only Form
Trip Dates: March 17 - March 19 For Questions please call Kathie Bamsey 678-430-6022
If you will be paying by CASH or CHECK ONLY please fill out this form. Please make your check payable to SUMC Children’s Ministry. In the memo line write "Night Crawler". Payment is due FRIDAY, MARCH 31, 2017.
Student Name(s) ,Grade(s) Gender and Age(s)
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Street Address:
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City:
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State:
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Zip Code:
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Cell Phone:
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Your Email Address
*
Are you paying by cash or check? Full Payment is due no later than Friday, March 31.
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How many children are you registering? Please submit your cash or check for the amount next to the number of children registering.
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One Child ($60.00)
Two Children ($120.00)
Three Children ($180.00)
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