Media Presbyterian Church - Sunday School '25-26

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The 2025-26 Sunday School year will kick off on Sept. 7th (Don't forget to stay after church to join us for the annual church picnic!)

Please register your child with the following form and reach out to Ty at ty@mediapresbyterian.org for any questions.

Child's First Name

Child's Last name

Child's Date of Birth

YYYY

Child's School and Grade

Parent/Guardian Full Name

Address

Parent/Guardian Email

Best Phone Number to Reach Parent/Guardian

Are you able to send/receive texts at the above number?

Yes

Clear selection

Child's Favorite Games/Shows/Hobbies/Music/Interests

Permission for photos of child taken during Sunday School to be used in church publications or on church website. Child will not be identified by name.

Yes

Clear selection

Emergency Contact Name

Emergency Contact Relationship to Child

Emergency Contact Phone Number

By signing this form, I understand that I am giving permission to the staff of MPC and other volunteers in charge to obtain medical attention or treatment in case or sickness or injury of my child. This may include administering basic first aid, medications or calling 911 as needed.

Yes (I understand that I will be contacted and informed of all incidents requiring this kind of attention))

Allergies that may impact their time at MPC? (foods, medications, bee stings, etc.)

Medical concerns that may impact their time at MPC

Behavioral traits that may impact their time at MPC (may include fears, separation anxiety, etc.):

Any thing else we need to know to help your child have a great experience each week in Sunday School?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms