Children's Ministries Registration

Use this form to sign up and participate in Children's Ministries throughout the 2010-2011 school year. Please complete this form for each child. For specific information about our various ministries with children, return to the KIDS page.

* Required

Errors

Child Information:

First Name *

Last Name *

Goes by name

Sex *

Male

Female

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Home Phone Number *
( ) - ext.

Birth Date *

School *

Grade *

Parent 1 Information:

First Name *

Last Name *

Email Address *

Mobile Phone Number *
( ) - ext.

Work Phone Number
( ) - ext.

Parent 2 Information:

First Name

Last Name

Email Address

Mobile Phone Number
( ) - ext.

Work Phone Number
( ) - ext.

Emergency Contact Information:

First Name *

Last Name *

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Phone Number *
( ) - ext.

Email Address

Authorized Pick Up 1 (other than parent):

First Name

Last Name

Relationship to child/family

Phone Number
( ) - ext.

Email Address

Authorized Pick Up 2 (other than parent):

First Name

Last Name

Relationship to child/family

Phone Number
( ) - ext.

Email Address

Please register my chilid for:

Children's Choir - children spend time developing a love for music while learning about its use in worship

Discover Club - a fun, interactive ministry where kids learn Bible stories and about their relationships with God and each other

W.K.J.D. - a program for 4-5th grade children focused on developing relationships with each other while deepening their faith in God

Yes

No

Sunday School - an essential part of Christian's lives in which they learn about God and the Bible

Children's Church - during Sunday morning worship the youngest children join together for lessons that aid children spiritual growth and development

Yes

No

Photograph Release:

I give Haygood Memorial United Methodist Church permission to publish in print, electronic, or video format the likeness or image of my child. I release all claims against Haygood Memorial United Methodist Church with respect to copyright ownership and publication including any claim for compensation related to use of the materials. *

Yes

No