Seymour Lake United Methodist Church
Sunday, September 05, 2010
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Awake at the Lake Online Registration Form

 
 
 First Name Last Name   Date of Birth  mm-dd-yyyy  
     
 Address      City           State and Zip 
     
 Phone Number   Email  
     
 Emergency Contact  Home Church  Emergency Phone Number 
     
                               
                 
                                                        
 If you are having trouble submitting this form you can also email the information to oxfordgoofball@ameritech.net