Teen/Adult Mystery Friend Sign-Up Sheet! ♥ High School aged teens may participate as adults. ♥ Completed forms are due no later than January 29. ♥ Friends are expected to leave a note for his/her friend every Sunday starting on February 5th. Friends who cannot be at church on a given Sunday, agree to mail, e-mail, or drop off a note. ♥ Friends are expected to attend the Mystery Friend Breakfast on Sunday, March 11.

Name: _____________________________________________

E-mail: _______________________________________

Phone (day):_______________________ Phone (evening): __________________________

Official use only:

Paired with child (name) ___________________________Pals I.D.___________________

I prefer that my pal is: FEMALE MALE NO PREFERENCE (circle one)

I would like my pal to be:

□ a Middle School youth (Please note: only adults may be matched with Middle School)

□ an elementary school aged child

□ a kindergarten or preschool aged child

Participation Covenant: I understand that participating in Mystery Friends is an important commitment to bring a note or card for my friend every Sunday during the program starting on February 5th and attend the Mystery Friends Breakfast on March 11th at 9:30 a.m. If for any reason, I find that I cannot honor my commitment to my Mystery Friend, I will contact DRE Barbara Friedland. Signature: _______________________________________

(Please return by January 29) -----------------------------------------------------------------------------------------------------------------------------

Please Provide Information About Yourself (this will be communicated to your Mystery Friend.)

FEMALE MALE (circle one)

Favorite interests: (check top 3 choices)

□ reading

□ sports

□ outdoors: hiking, gardening

□ art and crafts □ animals and nature

□ dancing □ music

□ □ science □ video/computer games

Favorite color: _________________

Favorite food: __________________________________________________________