EmailMeForm
Middle School Modgnik Final Numbers/T-shirt Order
Form is due no later than Tuesday, August 19, 2025.
Name of Church
*
Contact Name
*
Contact Email
*
Total number of MALE STUDENTS attending:
*
Total number of MALE LEADERS attending:
*
Total number of FEMALE STUDENTS attending:
*
Total number of FEMALE LEADERS attending:
*
T0TAL NUMBER ATTENDING:
*
T-Shirts (you may order extra shirts at $10.00/shirt):
Adult Small:
*
Adult Medium:
*
Adult Large:
*
Adult X-Large:
*
Adult XX-Large:
*
Names of teens to be called up front for group skits/games and favorite game:
One male student's name:
*
One female student's name:
*
FOOD ALLERGIES:
PLEASE BE SURE TO INCLUDE
- Student(s) and/or Leader(s) name(s)
- Food allergy(ies) or vegetarian (do NOT include medicine allergies)
*
