CU @ MU Registration

Check in for CU @ MU will occur outside of Leemon Field from 1-1:45 p.m.  If other arrangements need to be made, please contact Chaplain Tim Harrison by e-mail at btharrison@mckendree.edu or call 618.537.6962.

 

Individual or group not affiliated with a church:

Individual or Group Contact

Last                                              First 
 

Street Address

City   State  Zip/Postal Code

Number of attendees in party     

E-Mail Address

(To be used for event updates.)

 

Home Phone (include area code)

Cell Phone (include area code)

 

Special Needs or Comments:
    

 

Church Youth Groups:

 

Church Name

 

Youth Group Leader Contact

Last                                              First 
 

Street Address

City   State  Zip/Postal Code

Number of attendees in party     

Names of those attending (known) and grade in school

 

E-Mail Address

(To be used for event updates.)

 

Home Phone (include area code)

Cell Phone (include area code)

 

Special Needs or Comments:
    

 

After you have completed the form, click the SUBMIT button. A Confirmation Page will appear with the information you entered. Print out the Confirmation Form to keep for your personal records.