Moline Council for the Gifted - MCG

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Membership Form

$10.00 for Moline Council for the Gifted (MCG) family membership – receive newsletters, first notification of Saturday Serendipity course offerings, and family registration discount.

 

 

Parents Name:

 

____________________________________

 

Address: 

 

____________________________________

 

City, State, Zip Code: 

 

____________________________________

 

Phone Number: 

 

____________________________________

 

E-mail Address: 

 

____________________________________

 

School: 

 

____________________________________

 

Teacher/Grade: 

 

____________________________________

  

 

Please print, complete, and mail to:

 

                     MCG

                     P.O. Box 1138

                     Moline, IL 61265

 

 

 

NOTE: Make Checks payable to Moline Council for the Gifted or MCG