EmailMeForm
High School Modgnik Final Numbers & T-shirt Order
Form is due Friday, March 20, 2026 NO LATER THAN 9:00 A.M.
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 can order and pay $11/each for extra t-shirts):
Adult Small:
*
Adult Medium:
*
Adult Large:
*
Adult X-Large:
*
Adult XX-Large:
*
Names of teens to be called up front for group skits/games:
One male student's name:
*
One female student's name:
*
FOOD ALLERGIES or SPECIAL DIETS (NOT MEDS!):
Enter student or leader name and type of food allergy(ies) or special diet (vegetarian, gluten free):
*
