STUDENT(S) NAME(S) *
PARENT/LEAGAL GUARDIAN NAME *
PARENT EMAIL *
DO YOU GIVE PERMISSION FOR YOUR STUDENT TO TRAVEL WITH THE RIVER UKIAH STUDENT MINISTRIES SEPTEMBER 22, 2018 TO SIX FLAGS DISCOVERY KINGDOM IN VALEJO, CA * YESNO
COST FOR TRIP $40
PAYMENTS MUST BE MADE BY 9/15/18
CLICK BUTTON BELOW TO PAY NOW
