$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