Weekday School Interest Form

Interest Form

Fill out the form carefully for registration
Parent 1*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is your child currently enrolled, previously enrolled, or a newcomer to UCUMC Weekday School?*

Currently EnrolledPreviously EnrolledNewcomer
How many children are you applying for?

Thank you for your interest in UCUMC Weekday School.

Unfortunately, your child is too young to attend UCUMC Weekday School. Please contact us @ 704.369.8009 with any questions.

Interest Form