Schertz UMC Nursery - Child Registration

Church Nursery and Childcare

Child Information Sheet
We happily welcome all children! In order to participate in ministries at Schertz UMC, each child must have a current registration form on file. Thank you!
Please print clearly
Today's Date:

MonthDayYear
Date
Child's Name:
DOB:
Age:
Health Concerns / Seasonal or Food Allergies
Other things we need to know about your child:
Parent / Guardian Information
Name - Parent/Guardian #1

First NameLast Name
Cell Phone:
Format: (000) 000-0000.
Name - Parent/Guardian #2

First NameLast Name
Cell Phone:
Format: (000) 000-0000.
Emergency Contact (other than listed above):

First NameLast Name
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.

Other than the parents listed and the emergency contact, who else may pick up your child? This may include an older, responsible sibling.
Name

First NameLast Name
Name

First NameLast Name
If your child is currently in diapers, please complete this section.

I give the church nursery staff permission to change my child's diapers. Diapers are changed in the open with another staff member present.
Parent/Guardian Signature:
By not signing, the church nursery staff will contact you if your child's diaper must be changed.
If your child is currently potty-training, please complete this section.

I give the church nursery staff permission to change my child's clothes in the event of an accident.
Parent/Guardian Signature:
By not signing, the church nursery staff will contact you in the event of an accident so that you may come change your child's clothing.
If we need to get in touch with you, we will TEXT you. We understand that you will need to silence your phone during the worship service, so please have your phone handy so that you will know if we are trying to contact you. Except for the above circumstances, we will only contact you in case of an emergency.
Snacks

We will provide a small snack during your child's stay. If your child has special dietary needs, please let us know.

SUMC Photo Release

Schertz UMC occasionally has the opportunity to use photos to promote the Children's programs in our church. Uses might include: bulletin boards, newsletters, website, and press releases.
I give Schertz UMC permission to include my children
Please list all children's first and last names.
In photos used for informational and promotional purposes.
Parents Signature
Date

MonthDayYear
Date
Parent/Guardian of a Minor Liability Release

I understand that all reasonable safety precautions will be taken by the leaders of Schertz UMC, but the possibility of an unforeseen hazard may exist. I agree and hereby release from liability and to indemnify and hold harmless Schertz United Methodist Church, its leaders, employees, and volunteers, as regards to my child's participation in children's events held at Schertz UMC.
Parent / Guardian Name:

First NameLast Name
List the first and last name of all minor children.
I hereby give consent for my minor(s) to participate in the activities of Schertz UMC. I further agree to not hold Schertz UMC, its leaders, staff, and volunteers liable for injury, harm, damages, losses, or illness incurred. Please sign below.
Date

MonthDayYear
Date
Should be Empty:

Church Nursery and Childcare