FUMC LG Children & Youth Registration Form
First United Methodist Church of LaGrange 2025-2026 School Year
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Child 1 First & Last Name *
Child 1 Birthdate *
MM
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DD
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YYYY
Child 1 Current Grade in School *
Child 2 First & Last Name
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 2 Current Grade in School
Child 3 First & Last Name
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 3 Current Grade in School
Child 4 First & Last Name
Child 4 Birthdate
MM
/
DD
/
YYYY
Child 4 Current Grade in School
First & Last Name(s) of Parent(s)/Legal Guardians *
Home Address(es)  (Street, city & zip code) *
Best Phone Number(s) to reach Parent/Guardian(s) *
Parent/Guardian Email Address(es) *
Child/Youth Email Address(es), if applicable
Youth Cell Phone number(s), if applicable
*By adding here, I agree for my child to be contacted via text by Youth Minister Hattie.
Emergency Contact (other than parent/guardian) Name & Phone Number *
For Sunday School - Other adults who may pick up my children (children up through 4th grade must be signed out of Sunday School by a parent/guardian or adult specified here)
For Sunday School - Where may we find you during the Sunday School hour if needed? (Worship service, Sunday School classroom, via cell phone, etc)
Photo Permission - For purposes of community outreach only, my initials here give First United Methodist Church of LaGrange permission to publish  photos of my child/youth on the church website and social media. Names will never be posted with pictures.  *
Special needs or allergies (please specify if multiple children)
Illnesses or medication that would be helpful for Children's Minister Peggy, or Youth Minister Hattie to be aware of - 
Our programming relies on volunteers, please indicate here if you'd like to be contacted to serve in one of these roles -  *
Required
Our Children & Youth Ministry Team (Peggy & Hattie) are so excited to connect with you and your family this year! 
Is there anything you'd like more information about, or that you'd like us to know?
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