The Well --a new United Methodist Faith Community
Tuesday, September 07, 2010
Where God quenches thirst!
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Jail House Rock

 Welcome to the registration for Jail House Rock!  It is our back to school event for children ages 4 - 11.  It is our version of VBS at The Well.  It will be held July 31 (9 a.m. - noon) and August 1 (3 p.m. - 6 p.m.)  The event is free and all children are welcome!  Bring a friend. 

Parent's Name:       Email Address:   
 
Mailing Address:    City:   Zip:
 
Telephone Number:   Cell Phone:
 
Child(ren)     Name: Grade Completed:  Male  Female     
                   Name: Grade Completed:  Male  Female
                   Name: Grade Completed:  Male  Female
                   Name: Grade Completed:  Male  Female
                  
Do you attend Church regularly?  Yes   No   Name of Church