Registration for Reach Kids in the Meadow
Reach Yorktown Ministry is offering a community wide dinner and vacation Bible school event for children from 4 years of age thru 5th grade on Monday evenings in June at Morrow's Meadow (June 3, 10, 17 & 24). Check-in and a light supper begin at 5:45 for the entire family. Gathering music time will begin at 6:00 followed by sessions for stories, crafts, and games. Children are encouraged to attend every Monday. We realize that there will be some absences, and that is okay. Parents are welcome to spend the evening with us as volunteers or to check the children in and return later. Children should be picked up at 7:45 p.m.

Kids in the Meadow is a combined effort of the Reach Yorktown Ministry and its supporting local churches. Visit http://reachyorktown.com/ for more information.

In the case of approaching inclement weather, a text message will be sent to all families notifying them of moving the session that particular evening to the Yorktown United Methodist Church.

Family Name *
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Parent Name 1 *
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Parent Name 2
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Address *
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Zip Code *
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Email Address *
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Phone 1 *
Include area code
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May we send a text to this number? *
For emergencies or weather related concerns
Phone # 2
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May we send a text to this number?
For emergencies or weather related concerns
Emergency Contact *
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Emergency Contact Phone *
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May we send a text to this number? *
For emergencies or weather related concerns
Church Affiliations
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Full Name, Grade next fall, and Age of Child #1.
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Full Name, Grade next fall, and Age of Child #2
Your answer
Full Name, Grade next fall, and Age of Child #3
ex. Jane Doe, 3rd gr., 8 yrs.
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Full Name, Grade next fall, and Age of Child #4
ex. Jane Doe, 3rd gr., 8 yrs.
Your answer
Allergies?
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Are there any other special needs or concerns for any of the child/ren?
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Names of person/s in addition to parents and emergency contact who can pick up child/ren:
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Please read and check each of the following statements. When you hit submit this will be accepted as your signature agreement. I give permission for my child/ren to take part in Reach Kids in the Meadow. I understand that leaders will take all reasonable care during the class. *
I give permission for emergency medical treatment to be carried out in the event that I cannot be contacted. *
I authorize Reach and the church/es to use photos/videos taken for promotional purposes (in print and online) if my children are in the picture. *
In case of inclement weather a text will be sent to my phone/s noting that the program will be moved to the Yorktown United Methodist Church at 2301 S Broadway in Yorktown for that particular date.
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