Sunday School Registration 17-18

United Methodist Church of Geneva Sunday School Registration Form 2019-20

BIRTH THROUGH 12TH GRADE - If you do not click SUBMIT at the bottom, your information will not be saved.
Family Information
Parent 1 *

First Name Last Name
Cell Phone

Area Code Phone Number
Parent 2

First Name Last Name
Cell Phone

Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Home Phone

Area Code Phone Number
Preferred Email Contact *
example@example.com
May Children receive email at this address?

Yes No
Emergency Contact Name

First Name Last Name
Emergency Contact Phone

Area Code Phone Number
Does your 3rd/4th Grader have permission to be released by themselves after Sunday School rather than waiting to be signed out? *

Yes No Does not apply
Does your middle school/senior high student have permission to meet off-site with staff members and volunteers one-on-one in appropriate public settings (e.g.Starbucks, Panera, etc)? *

Yes No Does not apply
List people other than parents who should be allowed to pick up your children
I consent to the use of any video or photographs taken of my child to be used without his/her name by the United Methodist Church of Geneva in promotional materials including newspapers, bulletin boards, newsletters and internet web pages. *

Yes No
I authorize adult volunteers and staff of the United Methodist Church of Geneva to consent to emergency medical or dental treatment and hospital care provided by a licensed practitioner. I agree to be liable for all related cost incurred for care. *

Yes No
I am interested in discussing volunteer opportunities in children's/youth ministry. *

Preschool Elementary Middle School High School Substitute Only Not at this time
Children's Information
Child 1 Name *

First Name Last Name
Child 1 Gender *
Child 1 Birthdate *

Month Day Year
Date Date Picker Icon
Child 1 Grade Level *
Child 1 Email (if different from Parent email)
example@example.com
Child 1 Allergies, Special Needs and Medical Information
Child 2 Name

First Name Last Name
Child 2 Gender
Child 2 Birthdate

Month Day Year
Date Date Picker Icon
Child 2 Grade Level
Child 2 Email (if different from Parent email)
example@example.com
Child 2 Allergies, Special Needs and Medical Information
Child 3 Name

First Name Last Name
Child 3 Gender
Child 3 Birthdate

Month Day Year
Date Date Picker Icon
Child 3 Grade Level
Child 3 Email (if different from Parent email)
example@example.com
Child 3 Allergies, Special Needs and Medical Information
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United Methodist Church of Geneva Sunday School Registration Form 2019-20

Family Information

Children's Information