Solon United Methodist Church Youth Registration Form 2025-2026

Solon United Methodist Church Youth Registration Form 2025-2026
Youth #1 Name/DOB/Grade/Age
Youth #2 Name/DOB/Grade/Age
Youth #3 Name/DOB/Grade/Age
Youth #4 Name/DOB/Grade/Age
Parent/Guardian Name(s)
Address
Cell Phone(s)
Format: (000) 000-0000.
Email (s)
example@example.com
Youth Programs
Sunday School, Preschool -8th Grade, Sundays 9:00 AM Sept through AprilHigh School Youth Group,Wednesdays 6:15 -7:30 PMCoordinator: Sue Wilkinson, suewilkinson116@gmail.comMiddle School Youth Group, Wednesdays 6:15 -7:30 PM Coordinator: Rev. Peggy Garrigues, pastorpeggy@soloniaumc.org
YesNo
Please list those who are approved to pickup children from activities at SUMC or if youth will drive themselves:
1.
2.
3.
4.
ParentGuardian Signature
Date

MonthDayYear
Date
Please see back for Medical Form
SOLON LINITED METHODIST CHURCH

Medical Information and Treatment Release Form Form H
Name of Child/Youth #1
Date of Birth Youth #1

MonthDayYear
Date
Age of Youth #1
Allergies of Youth #1
Name of Child/Youth #2
Date of Birth of Youth #2

MonthDayYear
Date
Age of Youth #2
Allergies of Youth #2
Name of Child/Youth #3
Date of Birth of Youth #3

MonthDayYear
Date
Age of Youth #3
Allergies of Youth #3
Name of Child/Youth #4
Date of Birth of Youth #4

MonthDayYear
Date
Age of Youth #4
Allergies of Youth #4
Name of Parent/Guardian
Emergency Contact #1 Name
Cell
Emergency Contact #2 Name
Cell
The undersigned parent(s)/guardian authorized the Solon United Methodist Church to secure medical/dental treatment forin the event of any illness or accident for which Name of child/youth responsible adults of first aid personnel feel professional medical attention is required I/We hereby give permission to the administration of any and all necessary medical/dental treatment by a licensed physician or dentist in his/her office or at a hospital.
Family Doctor
Contact Information
Family Dentist
Contact Information
Hospital Preference
ParentsGuardian Signature
Date

MonthDayYear
Date
Should be Empty:

Solon United Methodist Church Youth Registration Form 2025-2026

Youth Programs