KUMC Young Explorers 2019-2020
Young Explorers is a Mom's Morning Out program for kids of all ages! We will explore the world through art, science, cooking, games and more! We meet from 9:00 am-1:00 pm select Fridays. We will provide a snack, please send a lunch and water bottle with your child. Cost is $20 for one child/$15 for each additional. Please fill out the registration form once for each child. Contact Jessica@kennesawumc.org with any questions.
Email address *
Child's Name *
Your answer
Child's Birthdate *
Your answer
Grade Level Fall 2019 *
Allergies or special needs? *
Your answer
Parent's Name *
Your answer
Parent's Address *
Your answer
Parent's Phone Number *
Your answer
Emergency Contact #1 *
Please list someone other than parent listed above
Your answer
Emergency Contact #1 Phone Number *
Your answer
Emergency Contact #2
Your answer
Emergency Contact #2 Phone Number
Your answer
Emergency Medical Consent-Please e-sign and date your acceptance or denial below. *
I authorize a representative of Kennesaw United Methodist Church to transport and give consent for any and all emergency medical care for my child while he/she is in the custody of the church.
Your answer
Photo Consent-Please e-sign and date your acceptance or denial below. *
My child has my permission to have their picture taken and the unidentified photo may be used in any church printed materials. These may also be used for publicity purposes.
Your answer
Please choose all dates you would like to register for *
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