Fountain Valley United Methodist Church
A Bible Teaching Church for All Ages
First Name
Last Name
Daytime Phone
(
)
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E-mail Address
# of family members
First names of each family member (seperate with comma)
# Wii players (over 12 please)
# Children ages 4-11
# Children 3 and under
Can you provide a Wii or controllers for the event?
Fountain Valley United Methodist Church
18225 Bushard St
Fountain Valley, CA 92708
(714) 962.2593
Fountainvalleyumc@verizon.net
Fax (714) 964.1434
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