Under One Tent: Interfaith Retreat

Under One Tent
Telling our Stories
An Interfaith Event
1st-5th Grades
June 4th 10am-3pm

Skatedog Waiver- MUST BE FILLED OUT

Under One Tent Registration

* Indicates required field

Religious Affiliation *

Parent/Guardian Name 1 *

First

Last

Parent/Guardian Name 2 *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Family Email *

Phone Number *

Phone Number 2 *

Will you be able to provide your own skate equipment? *

Photo permissions

At MBCC, photos and/or videos are often taken at events in which children participate. These photos and videos may be posted on MBCC's website, Facebook, or Instagram page, used in printed and electronic materials, or submitted with press releases to local publications, to illustrate our community for potential visitors. Children are never identified by name. However, if you or your child wish to tag themselves, that is allowed. It is MBCC's policy to respect the wishes of parents regarding photos or videos that include their children. Please tell us below if there are any ways in which you do not wish for these photos or videos to be used.

Please choose one *

No Restrictions The Following Restrictions

Restrictions *

Camper 1

Camper 1 Name *

First

Last

Preferred Name or Nickname *

Camper 1 Grade (2020-2021) *

Camper 1 Age *

Allergies or other Special needs *

Camper 2

Camper 2 Name *

First

Last

Camper 2 Grade (2020-2021) *

Preferred Name or Nickname (2) *

Camper 2 Age *

Allergies or other special needs *

Camper 3

Camper 3 Name *

First

Last

Camper 3 Grade (2020-2021) *

Preferred Name or Nickname (3) *

Camper 3 Age *

Allergies or other special needs *

Camper 4

Camper 4 Name *

First

Last

Camper 4 Grade (2020-2021) *

Preferred Name or Nickname (4) *

Camper 4 Age *

Allergies or other special needs *

Once you hit submit, you will be taken to our payment page. Please follow the directs to pay. Thank you!
Costs: $15 per child
Once you are on our donations page, select "Other" fill in the appropriate amount in the amount box. Then put "Under One Tent" in the line that follows.
Please contact Sylvia Miller Sylvia.miller@mbccucc.org for any questions.

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Under One TentTelling our StoriesAn Interfaith Event​1st-5th GradesJune 4th 10am-3pm

Under One Tent Registration

Photo permissions

Camper 1

Camper 2

Camper 3

Camper 4

Under One Tent
Telling our Stories
An Interfaith Event
1st-5th Grades
June 4th 10am-3pm