Child Youth Registration

Children’s, Pre-teen, and Youth Ministry Registration

Child / Youth Registration Form

Use the form opposite to register your child, preteen, or youth for small groups, Sunday school and to receive notifications on upcoming events for children and youth at First United Methodist Church:

2022-2023 Children, Preteen, & Youth Registration

Child #1 Information

Child's Name

First

Last

Child's Birthday

Grade child enters in fall of 2022?

Child #2 Information

Parental Contact Information

Parent/Guardian # 1's Name

Last Name

Parent/Guardian # 1's Cell Phone

Parent/Guardian # 1's Email

Address

City

State/Province

Zip/Postal

Country

Parent/Gardian #2's Name

First

Last

Parent/Guardian #2's Cell Phone

Parent/Guardian #2's Email

Adults or Siblings who are allowed to pick-up your child

Allergies / Special Information about your child that we should know

I give permission for FUMC to photograph my child during church events for advertising purposes: website, newsletter, magazine, etc

Yes

In case of emergency, and parents cannot be reached, I give permission to the personnel of First United Methodist Church to take my child to the nearest medical facility. I authorize the personnel of FUMC to secure medical treatment by their doctor or associates, as deemed necessary.

Agree

Signature

Date