Blaine Memorial UMC - Church School Registration
Welcome to Blaine Memorial UMC Church School On-Line Registration. Please register each child that will be attending Church School. Church school is a place where children can experience the love of God that empowers them to learn about their faith and grow closer in their relationship with God.

Church school starts at 11am every Sunday except for the first Sunday of the month which starts at 10am. All children will start the morning in worship with their families and then head off to Church school after the children’s sermon.

For more information about Blaine Memorial UMC and/or Church School may be found on http://blaineonline.org/ or calling the Church Office Monday-Friday from 9:30am-5pm at 206-723-1536.

Participant Information
Child's Last Name *
Your answer
Child's First Name *
Your answer
Date of Birth *
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Gender *
Name of School Attending in Fall of 2017 *
Your answer
Grade in Fall of 2017 *
Medical/Dental/Allergy Information
Allergies *
If none, please enter NONE or NA. If medication is require during Church School, the parent/guardian will be requested to administer the medication.
Your answer
Name of Child's Physician
Your answer
Physician Phone Number
Your answer
Date of Last Physical Exam:
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Date of Last Tetanus Shot: *
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Name of Child's Dentist and/or Orthodontist
Your answer
Dentist and/or Orthodontist Phone Number:
Your answer
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