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First Presbyterian Church of Metuchen Sunday School & Youth Group Registration (2018/2019)
Please fill out the following information to enroll your youth in Sunday School, Junior/Senior High Youth Group, First Friday, Junior Club, All Youth Music Programs, Puppet Ministry, and Presbyterian Young Women
One form is required per child/youth
YOUTH INFORMATION
First Name: *
Your answer
Last Name: *
Your answer
Grade/Class Level *
School *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Home Phone
Please enter numbers only, no ( ) or -
Your answer
Youth Cell Phone (if applicable) *
Please enter numbers only, no ( ) or -
Your answer
Youth Email (if applicable) *
Your answer
Street Address *
Your answer
City / Zip Code *
Your answer
PARENT/GUARDIAN INFORMATION
Parent/Guardian 1 *
Your answer
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 1 Cell Phone *
Please enter numbers only, no ( ) or -
Your answer
Parent/Guardian 2
Your answer
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 Cell Phone
Please enter numbers only, no ( ) or -
Your answer
Preferred Parent Contact (email, text, Facebook): *
Please enter the email address, cell phone or Facebook account that is your preferred form of contact:
Your answer
ENROLLMENT
Please check ALL programs that you would like to enroll your child in for 2018-2019
Sunday School
Youth Group
Music Program - Choir
Music Program - Handbells
Other Programs
Medical & Behavior Information
If you prefer not to list medical concerns, please feel free to contact Nancy Leardi (email: nleardi@fpcweb.org or call:
732-491-2264) or Rev. Karmann (email: jkarmann@fpcweb.org or call: 732-491-2260) to discuss privately.
It is helpful to know about any medical conditions or behavioral concerns your child may have. Please check any boxes that apply and you will be contacted for more information:
Untitled Title
Current medications or other matters that you would like us to know about. (If you prefer to discuss privately, feel free to contact Nancy Leardi (nleardi@fpcweb.org) or Rev. Justin Karmann (jkarmann@fpcweb.org)
Your answer
Health Insurance Company
Your answer
Policy Number
Your answer
As the parent/legal guardian, you give permission for your child to attend and participate in the activities at First Presbyterian Church of Metuchen. You certify that the information you have provided is correct. You authorize the adult leader of the church youth group to secure medical care, including hospitalization and other medical attention deemed necessary by a licensed physician for your child. You acknowledge that all costs associated with any medical treatment for illness or accidents while at a First Presbyterian event are your personal responsibility. *
Emergency Contact Person (other than parents/guardians) *
Your answer
Relationship *
Your answer
Phone Number *
Please enter numbers only, no ( ) or -
Your answer
By registering your child in the Sunday School and various Youth Programs of the church, your child may be photographed, videotaped, filmed on livestream feeds, and/or recorded as part of their participation in any of the church’s worship services and events, from the date hereof and such video recording or photograph may be included in any publications, church Website, or on various social media platforms of the First Presbyterian Church of Metuchen, New Jersey. *
Your Help Is Needed
Wednesday Youth Group Dinner
For Junior/Senior High Youth Group only: All families are expected to provide at least one Wednesday Night Youth Group Dinner. You will be contacted with your Youth Group Dinner date and more information.
Teaching
Other Parent Support:
Youth Group Parents (Junior & Senior High)
We are using a new communication app called Group Me for both parents and youth. Rev. Karmann will be sending out reminder text messages through this app anytime an event is upcoming.
Parents and guardians, please register with this app via: https://app.groupme.com/join_group/24026950/GkoacZ.
Youth, please register with this app via: https://groupme.com/join_group/23722261/kLHOPe.
**Be sure to come back to this form after you click on the above link so that you can submit this registration form!!
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