Roseville Campus Children's Ministry Registration 2019-2020
Parent(s)/Guardian(s) *
Your answer
Address (please include City, State, Zip) *
Your answer
Phone Number(s) (please indicate which #s belong to which parent/guardian) *
Your answer
E-mail(s) (please indicate which email belongs to which parent/guardian) *
Your answer
We are
Register for Classes and Groups *
Required
Child 1: Full Name *
Your answer
Child 1: Age (as of Sep. 1) *
Your answer
Child 1: Birth Date *
MM
/
DD
/
YYYY
Child 1: Baptized?
Child 1: Grade - fall 2019 *
Child 1: Allergies/Special Needs
Your answer
Child 1: Other information that would be helpful for staff and volunteers to know
Your answer
Child 2: Full Name
Your answer
Child 2: Age (as of Sep. 1)
Your answer
Child 2: Birth Date
MM
/
DD
/
YYYY
Child 2: Baptized?
Child 2: Grade - fall 2019
Child 2: Allergies/Special Needs
Your answer
Child 2: Other information that would be helpful for staff and volunteers to know
Your answer
Child 3: Full Name
Your answer
Child 3: Age (as of Sep. 1)
Your answer
Child 3: Birth Date
MM
/
DD
/
YYYY
Child 3: Baptized?
Child 3: Grade - fall 2019
Child 3: Allergies/Special Needs
Your answer
Child 3: Other information that would be helpful for staff and volunteers to know
Your answer
Parent Information - Parents are an important part of our ministry! Please check the ways that you would be willing to partner with us during the coming year. Someone will contact you about specifics. Thank you!
Media Release: I understand that photos (film, video, digital) taken of my child/ren may be used by Centennial UMC (CUMC) for publication, including the Centennial News, Sunday bulletin, interior of the church, CUMC website and CUMC Facebook pages. Images used within the church may include first name only. Images on the website will not include names. Other media and publications not listed above will not include names. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy