3617 Mackinaw - Suite 1
Saginaw, Michigan 48602-3342
PHONE : (989) 793-8838
FAX: (989) 793-2077
Sagbaydist@aol.com



District Annual Conference & Change the World Event Registration
October 16, 2010
Freeland United Methodist Church

Registration Fee:$10.00 (includes lunch)
Make check payable to:Saginaw Bay District
Mail check to:Kimberly Armstrong-Brooks
216 Fifth Street
Harrisville, MI 48740
Registration Deadline:September 25, 2010


Name:
Address:
Phone:
Email:
Church:
Age: under 15
16-25
26-35
36-45
46-55
56-65
66-75
76 +
Skills/Abilities:
(please check all that apply) 		Painting
Carpentry
Gardening/Raking
Cooking
Small Home Repair
Cleaning
Working with Children
Sewing
Evangelism
Other:
Physical Limitations:
(please describe)
T-shirt size: Small
Medium
Large
X-Large
XX-Large
Special Dietary Needs:
(please describe)
Are you sharing a ride
with others? 		No
Yes
If yes, sharing a ride with:
 




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