Solon United Methodist Church Youth Registration Form 2026-2027

Youth Registration Form 2026-2027
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
In an effort to streamline our youth programs registration process we have combined registration for all of our youth activities. (other than Treasure Seekers afterschool program Please check the box next to the programs that you wish to register your child for. Be sure to fill out the medical form located on the back of this sheet.
I give my permission to S.U.M.C. to photograph my child during any activities they attend at S.U.M.C. I give permission to copyright and use and publish the photos for any lawful purpose, including newspaper articles, church publications, website and Facebook.
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:

Youth Registration Form 2026-2027

Youth Programs