2024-2025 Children's Ministries Registration

Please fill out this form and click submit.

Child's Name

*

Birthdate

*

Grade

*

Please select one option.

Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Gender

*

Allergies

Child #2 Name

Child #2 Birthdate

Child #2 Gender

Child #2 Grade

Please select all that apply.

Nursery Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Allergies

Child #3 Name

Child #3 Birthdate

Child #3 Grade

Please select all that apply.

Nursery Preschool Kindergarten First Second Third Fourth Fifth

Allergies:

Parent's/Guardian Name:

*

Address

*

Email

*

This address will receive a confirmation email

Mobile Phone

*

Please check:

*

Please select all that apply.

Member Attending Visitor

Sunday Service Attending (Please check):

*

Please select one option.

8:15 AM 9:30 AM 11:00 AM

Photo Consent

Powell UMC has my permission to use print or elecorinic photos of my child while participating in church sponsored events. Children will not be identified by name in any photos:

Permission to use photos

*

Please select all that apply.

Internal (inside building only): YES Internal: NO External (Internet, Instagram, Website): YES External: NO

Pick Up Procedure

I understand that as a parent/guardian I am responsible for picking up my child, Preschool-5th Grader, from the area or room which they are participating in a church sponsored activity:

Please check:

*

Please select all that apply.

I have read the above information re: pick up procedures

Description

Please fill out this form and click submit.

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