MidWinter Advance Sign-Up

Dates: January 10-12, 2020
Cost: $130
Deposit: $45 due by December 1

Name

First Name

Last Name

Email Address

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Additional Information

Please share any concerns or information that we should be aware of including medical conditions, allergies, or medications.

MUMC Release Form

I have a form on file for 2019-2020

I understand that I cannot go on the trip without a signed release form. I will download the form and fill it out.

MWA Participant Form

I have or will download and fill out the MWA Participant Form

Marlton
United Methodist Church

Mailing Address:
PO Box 1160, Marlton, NJ 08053

Street Address (For GPS):
2 Marlborough Avenue, Marlton, NJ 08053

856-983-9587

Rev. Jesse Ruch

To inspire the growth and sharing of God’s love through genuine, meaningful relationships with each other and our community.