Sunday School / Wednesday Night Kids Club Registration

Child/Youth Name(required)

Birthdate(required)

Address(required)

City(required)

State

Zip Code(required)

Gender(required)

School(required)

Grade(required)

Parent or Guardian(required)

Parent / Guardian Home Phone(required)

Parent / Guardian Cell Phone

Parent / Guardian email you check most often(required)

Parent / Guardian 2

Parent / Guardian 2 Home Phone

Parent / Guardian 2 Cell Phone

Parent / Guardian 2 email you check most often

IN CASE OF EMERGENCY CONTACT(required)

EMERGENCY CONTACT PHONE(required)

ALLERGIES / MEDICAL CONCERNS

SPECIAL NEEDS / OTHER INFORMATION TO SHARE

I am registering my child/youth for (check all that apply):(required) 9:15 am Sunday School (Preschool to 5th grade and Middle School)

10:45 am Sunday School (Preschool to 5th grade)

5:30 pm Wednesday Night Family Meals (suggested $3 donation per person each Wednesdsay

not to exceed $15 per family)

6:00 pm Wednesday Night Kids Club (Preschool to 5th grade)

Number of family members expected to eat at Wednesday night meals (suggested $2 each)

I would be willing to help in the following ways (check all that apply) 9:15 am Sunday School Teacher or Teacher Assistant

10:45 am Sunday School Teacher or Teacher Assistant

6:00 pm Wednesday Teacher Assistant

Help with special church activities (programs / chaperones / driving for mission projects / etc.)

Occasionally be a substitute teacher for Sunday School

Occasionally be a substitute teacher for Wednesday Night

Assist with meal Setup and/or Clean up on Wednesday Evenings

I have questions and would like someone to contact me:

My child/youth has permission to participate in all activities at Lovely Lane UMC.(required)

I give permission for LLUMC to use pictures or video of classes or activities on their website or for other marketing uses.

Electronic Parent / Guardian Signature(required)

Wednesday night registrations: