Wilmore Free Methodist Church

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Wilmore Free Methodist Church

2025-2026 Child Registration Form

Valid through August 2026

Email *

Child's Full Name (First Last):
*

Child's Date of Birth:
*

YYYY

Child's Age:
*

Child's grade (2025-2026 school year):
*

Nursery

Pre-Kindergarten

Kindergraten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Grades 1-5 Only:

HOLD my child until someone comes to pick him/her up

RELEASE my child at the end of class

Clear selection

Child's Gender:
*

Male

Female

Child's Allergies:
*

Child's Special Needs:
*

Child's Other Medical (medications, conditions, etc):
*

Add another child's information?
*

Yes

Clear form

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