5th & 6th Grade Dismissal Form
Root 56 (Sunday School) and Club 56 (Wednesday Nights)
Date
-
Month
-
Day
Year
Date
Child's Name
First Name
Last Name
Grade
5th Grade
6th Grade
Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Phone Number
-
Area Code
Phone Number
During August 2021-August 2022, my child has permission to be dismissed without the presence of their parent/guardian at the conclusion of Sunday School, Club 56 and other activities at CUMC.
Yes
No
Submit
Should be Empty: