Dayton United Methodist Church, Dayton, VA
Thursday, February 23, 2012
Open hearts. Open minds. Open doors.

Register for Events

 

REGISTER FOR DAYTON UMC EVENTS HERE!
 
-1-  Find an event you are interested in on the Church CalendarNewsletter, or bulletin.
-2-  Fill in areas of the form below which apply to your type of event.
(Your name, and email or phone number are required for us to confirm your registration.)
-3-  Print:  After entering data, but before submitting it, print a copy of this page if needed.
(The form resets after you click submit, so your information will be lost.)
-4- Click "Submit" (near the bottom of the form)
 
 
Please be aware that this is not a secure web site or web form. 
As with any unsecured web site or web form,
any information you submit may be intercepted by unintended third party(ies).
Alternatively, you may contact the church office for a registration form.
 
 

 


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

DAYTON UNITED METHODIST CHURCH

EVENT REGISTRATION FORM

 

Dayton United Methodist Church

215 Ashby Street – Dayton, Virginia 22821

Phone:  (540) 879-2102     Fax:  (540) 879-2703

daytonumc@comcast.net                www.daytonvaumc.org

 

CONTACT INFORMATION:

Your Name:                  

                            

Email:                    

                                                                                            


Phone:               

                         

 

 Address:          

                       

                                  

                       

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

FOR  DINNING EVENT:            

                                        Event Name               

                                        Event Date                  

                                        Event Time                 

                                         Number of ADULTS to attend:      

                                         Number of CHILDREN to attend:   

PLEASE CONTACT ME ABOUT VOLUNTEERING TO HELP WITH THIS DINNER!            

Please enter your comments or questions below.

 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 

 VACATION BIBLE SCHOOL:            

VACATION BIBLE SCHOOL SESSION:          

PLEASE CONTACT ME ABOUT VOLUNTEERING TO HELP WITH VBS!            

PLEASE CONTACT ME WITH MORE INFORMATION ABOUT VBS!            

PARENT'S NAME:           

Parent's Phone:          

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Please enter your comments or questions below.

 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~  

MISSION TRIP EVENTS:            

MISSION TRIP NAME:           

PLEASE CONTACT ME ABOUT VOLUNTEERING TO HELP WITH THIS MISSION!            

PLEASE CONTACT ME WITH MORE INFORMATION ABOUT THIS MISSION!            

PLEASE CONTACT ME WITH MORE INFORMATION ABOUT CHURCH MISSIONS MINISTRY!            

PLEASE LIST ADULTS WHO ARE PLANNING TO ATTEND THIS MISSION EVENT:
ADULT'S NAME:
           
ADULT'S NAME:          

PLEASE LIST CHILDREN WHO ARE PLANNING TO ATTEND THIS MISSION EVENT:

PARENT OR GUARDING WHO AUTHORIZES THIS/THESE CHILD/CHILDREN TO ATTEND:        

PARENT'S NAME:           

Parent's Phone:          

 Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Child’s Name                 Age 

Please enter your comments or questions below.

 

 If you need a printed copy, print this page before submitting it.

(This form resets after you click submit, so your information will be lost.)
 
 
Please be aware that this is not a secure web site or web form. 
As with any unsecured web site or web form,
any information you submit may be intercepted by unintended third party(ies).
Alternatively, you may contact the church office for a registration form.