Registration Form
Filling out this form reserves a spot for you. Please make checks payable to:
Maple Springs UMC
2569 Reynolda Road
Winston-Salem, NC 27106
Name
Address
Phone Number
Email Address
Number of Adults ($50 Each)
Number of Kids (3-11, $30 Each)
Total Due (Maximum of $125 per family)
Requested Roommates
Pizza Sign-Up: We have pizza delivered around 7 p.m. on Friday. Cost is $2 per person. Please add to your total.
Yes, I'd like pizza for # adults.
Yes, I'd like pizza for # kids.