Trinity UMC After School Student Information
Trinity United Methodist Church is happy to provide After School programming for students in kindergarten through sixth grade. The After School program is open to members AND non-members! There is no fee.

Programming will be offered after school lets out on Wednesdays until 5 pm.

If there is a chance you won’t be able to have your child picked up by 5 pm please contact us as soon as possible. We want to make sure that your child is safe.

Please let us know if your child will not be able to attend on a given Wednesday. If we are expecting them to be there, and they do not show up, we will call you to confirm that they won’t be attending. Notice from you as soon as you know if they won’t be present would be appreciated.

If there is no school, if school is cancelled or let out earlier we will not have the after school program.
(Example: Snow day, the Wednesday before Thanksgiving.)

If you have any questions please feel free to contact:
Joyce Kurtz at jakurtz3@gmail.com 319-240-5965
Judy Ebert at judy.ebert5@gmail.com
Lesley Toma at dod@trinitywaverly.org
Trinity UMC triumc@gmail.com 319-352-2590

Thank you!

Section 1 of 4
Students Name
Your answer
Students Grade
Your answer
Students Age
Your answer
Students date of birth
Your answer
Students school
Your answer
Does the student have any drug or food allergies? If so please list them. Any other medical Information we need to know?
Your answer
Persons allowed to pick up the student?
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms