First-time Registration: MUMC Children and Youth Program sign up
The Red Brick Church up the hill...
Child or Youth's Full name
Child or Youth Birthdate
Parent or Guardian's name
Phone number (best # to reach you)
Relationship to children
Number of people living in the household
How did you hear about us?
In which programs are you interested?
Java and Jesus free meal and worship
Red Brick Learning (Wednesday)
Red Brick Summer Fun (Wednesday)
Youth Group Wed program
God's Free Gift - Free Christmas Gifts for Family members
May your child or youth appear in media such as website, Facebook, and flyers?
Allergies, medical, special needs or other concerns
Emergency contact name, best phone # and relationship to child or youth
If you child needs transportation, provide details below:
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