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2018-2019 WUMC Children & Youth Program Registration
Thank you for completing this registration in order that we may best be prepared to help your children &/or teens to grow in their faith and mature in body, mind and spirit. Note this registration is good until July 2019 so feel free to register all your children now! Please enter all names by listing the last name first followed by first name. Thank you.
Email address *
Which WUMC campus will your kids primarily attend?
Parent/ Guardian #1 *
Last Name , First Name:
Your answer
Parent/Guardian #1 Email *
Your answer
Parent/Guardian #1 Preferred Phone # *
Your answer
Parent/Guardian #1 Street Address *
Your answer
Parent/Guardian #1 Zip Code *
Your answer
Parent/ Guardian #2
Last Name , First Name:
Your answer
Parent/Guardian #2 Preferred Phone Number
Your answer
Parent/Guardian #2 Zip Code
Your answer
Parent/Guardian #2 Street Address
Your answer
Emergency Contact (other than Parent/Guardians). *
Last Name , First Name:
Your answer
Emergency Contact Phone Number *
Your answer
Register Children who will be participating with WUMC in our Christian Education and Youth programs through out the school year. Once you have listed all your children, skip to section on Media Releases.
Child 1 *
Last Name , First Name:
Your answer
Grade (See Key Below) *
N (Nursery) T (Toddler) PK (PreSchool) K (Kindergarten) or indicate Grade in Fall (1, 2, 3, etc.)
Your answer
Birth Date *
MM/DD/YYYY
MM
/
DD
/
YYYY
Allergies, Medical Conditions, and/or Accommodations (504/IEP relevant information). Note this information is shared only with teachers and classroom assistants to help provide safe and productive learning environments for all.
Your answer
Child 2
Last Name , First Name:
Your answer
Grade (See Key Below)
N (Nursery) T (Toddler) PK (PreSchool) K (Kindergarten) or indicate Grade in Fall (1, 2, 3, etc.)
Your answer
Birth Date
MM/DD/YYYY
MM
/
DD
/
YYYY
Allergies, Medical Conditions, and/or Accommodations (504/IEP relevant information). Note this information is shared only with teachers and classroom assistants to help provide safe and productive learning environments for all.
Your answer
Child 3
Last Name , First Name:
Your answer
Child 3 Grade (See Key Below)
N (Nursery) T (Toddler) PK (PreSchool) K (Kindergarten) or indicate Grade in Fall (1, 2, 3, etc.)
Your answer
Child 3 Birth Date
MM/DD/YYYY
MM
/
DD
/
YYYY
Child 3 Allergies, Medical Conditions, and/or Accommodations (504/IEP relevant information). Note this information is shared only with teachers and classroom assistants to help provide safe and productive learning environments for all.
Your answer
Child 4
Last Name , First Name:
Your answer
Child 4 Grade (See Key Below)
N (Nursery) T (Toddler) PK (PreSchool) K (Kindergarten) or indicate Grade in Fall (1, 2, 3, etc.)
Your answer
Child 4 Birth Date
MM/DD/YYYY
MM
/
DD
/
YYYY
Child 4 Allergies, Medical Conditions, and/or Accommodations (504/IEP relevant information). Note this information is shared only with teachers and classroom assistants to help provide safe and productive learning environments for all.
Your answer
MEDIA RELEASES
I permit WUMC to use pictures of my child (ren) in internal and external media including but not limited to bulletin boards, WUMC's Facebook Page, and WUMC's webpage. *
Live Streaming of 10am Suburban Campus Worship Service and Children
I understand that WUMC is live streaming the 10am Suburban campus worship service (live video feed of church service and then 6 week archive on website). I understand that during children's moment, children's choir performance or other related times when children gather near the altar that my child (ren) may be visible on the live stream. *
VOLUNTEERING
Our amazing Children & Teen ministries run well because of many volunteers! Whether you have a little time or more to give, you make a difference in kids knowing the love of God and the joy of following Jesus
Adult Volunteers: Check all that apply *
Required
My High School student is interested in volunteering in Kids Ministry
Thank you for Registering!
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