Sunday Study Registration
2020-2021
Parent/Guardian Name(s) *
Address *
Primary Phone *
Secondary Phone
Primary Email *
Secondary Email
Photograph Permission: I permit the registered child(ren) to be photographed and give Menomonie UMC permission to use these photos on church websites, brochures, advertising, etc... *
Child 1 Name (First & Last) *
Child 1 DOB *
MM
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DD
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Child 1 (2020-2021 School Year) *
Child 1- Any allergies, medical, or special needs that we should be made aware of? *
Child 2 Name (First & Last)
Child 2 DOB
MM
/
DD
/
YYYY
Child 2 Grade (2020-2021 School Year)
Child 2- Any allergies, medical, or special needs that we should be made aware of?
Child 3 Name (First & Last)
Child 3 DOB
MM
/
DD
/
YYYY
Child 3 Grade (2020-2021 School Year)
Child 3- Any allergies, medical, or special needs that we should be made aware of?
Child 4 Name (First & Last)
Child 4 DOB
MM
/
DD
/
YYYY
Child 4 Grade (2020-2021 School Year)
Child 4- Any allergies, medical, or special needs that we should be made aware of?
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