The Mix, P.O. Box 4, Arnoldsville, GA 30619

Church Name

Church Contact

First Name

Last Name

Email Address

Phone Number

(###)

###

####

Participants

How many are you registering?

Extra TShirts

Make sure to include these sizes in the count below

# of small t-shirts

# of medium t-shirts

# of large t-shirts

#of x-large t-shirts

# of xx-large t-shirts

# of xxx-large t-shirts