Mother/Son Date Night Sign-up


Mom's Information:

Mom:
E-mail:

Your son(s)'s Information:

Son 1:
Son 2:
Son 3:
Son 4:
Son 5:

Please bring your payment to the church:
$10 per couple, plus $5 for each additional son






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Windsor Road Christian Church | 2501 W. Windsor Road | Champaign, IL 61822
p. 217.359.2122 | f. 217.359.7623 | © 2005 Windsor Road Christian Church