Anthem Registration Form
9-12 grade
Email address *
Parent's Email Address *
Your answer
Student Information
Student's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Male or Female *
Grade Fall 2019 *
Allergies *
Your answer
Will student be picked up/dropped off to TUMC or allowed to drive? *
Your answer
Student is allowed to drive him or herself to youth events within 20 miles of Tremont UMC *
Parent/ Guardian Information
Name(s) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Do you text? *
In case of an accident, I give my permission for transportation to the hospital, and for any emergency treatment to be administered to my child. What hospital do you prefer? *
Your answer
Occasionally photos may be taken of youth in which they may be used within the church, the church's website, church's Facebook, etc of the Tremont United Methodist Church. *
A copy of your responses will be emailed to the address you provided.
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