Lake Monroe
 Picnic
Saturday, June 20, 2009
10:00am - 5:00pm
Pickup at Eigenmann Hall at 9:30am

All internationals and Americans welcome
Call Elan Rajamani at 812-325-9047 or email elan@ifmusa.org for more information

Register by Thursday, June 18

 

COST*

●  Adults  - $5.00 
●  Children (4-12yrs) - $3.00 
●  Children (3 & under) - FREE
 *Cost includes lunch


Already done Step 1?
If you have already completed Step 1: Registration Information, and need only to pay,
please go to www.ifmusa.org/bism_lake_pay.htm to make your payment.
Please do not make payment without submitting Registration Information.


Registration Information---->Registration Fees---->Payment---->Done
-----------(O)------------------------------------------------------------

Step 1: Registration Information
 
 

Registration
Lake Monroe Picnic
 June 20, 2009
You must register each person individually.
Members of the same family can register together.
First Name*
Last Name*
Name as in Credit Card
(if different from above)
Address*
City*
State*
Zip*
Email*
Phone
Gender Male   Female
Marital Status Married   Single
Age*  
School*  
Country of Origin*  
Spouse's Name
(if coming to event)
Names of Children, their sex & ages
 (if coming to event)
Names of Other family members & their relationship to you.
 (include their sex & ages)
No. of people coming* (including yourself)
I need transportation to the lake Yes   No
Registration Fees You will be asked to pay the registration fees on the following page.
Any medical condition that we need to know?
Comments?
By checking here I agree to the Liability Waiver & Agreement of Participation statement

Agree		 LIABILITY WAIVER & AGREEMENT OF PARTICIPATION
In appreciation and consideration of Bloomington International Student Ministries (BISM) affording me the opportunity to participate in the events/activities indicated, I agree that I/my family participate in the Lake Monroe Picnic Trip (June 20, 2009) solely at my own risk.  I waive, release and agree to hold harmless BISM, its agents, employees and volunteers from any and all property damage, personal injury or other claims of whatever nature made by myself or others related to my participation in these events/activities.

All items with a (*) are required.

Click on Submit button
after filling up the above information


~~ Sponsored by ~~
Bloomington International Student Ministries