Back to School Form
Birth - 5th Grade, 2026-2027 School Year
Parent or Guardian Name(s)
*
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email
*
example@example.com
Students Name
First Name
Last Name
Preferred Name
School and Grade
*
Bate of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Siblings Name(s)
My child has:
*
An age appropriate Bible
Been Baptized
Been Confirmed
One Important thing you would like for us to know about your child?
Any additional information you would like to share?
I grant permission to Laurel Heights United Methodist Church to use any still and or moving image (video, photographs, audio) depicting myself and or my child on the church website, social media groups, or other online and or printed publications without further consideration. I acknowledge the church has the right to alter the photograph(s) at its discretion. I hereby release, discharge, and agree to indemnify and hold harmless Laurel Heights United Methodist Church, its officers, agents and or designated leadership, from all claims, demands, and causes of action that I or my child/dependent have or may have.
*
Yes
No
Submit
Should be Empty: