Wayne Children’s Ministries Registration 2026-2027

Wayne Children’s Ministries Registration 2026-2027

Register your child for Wayne Children’s Ministries programs. For updates, contact Linda Sands, Office Administrator (L.Sands@wayneumc.org). Form valid September 2026 through September 2027.
Parent/Guardian Information
Mother’s/Guardian’s Name

First NameLast Name
Mother’s/Guardian’s Email
example@example.com
Mother’s/Guardian’s Cell #
Please enter a valid phone number.Format: (000) 000-0000.
Father’s/Guardian’s Name

First NameLast Name
Father’s/Guardian’s Email
example@example.com
Father’s/Guardian’s Cell #
Please enter a valid phone number.Format: (000) 000-0000.
Child Information
Child’s Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Child’s First Name
Child’s Last Name
Name Child Prefers (Nickname)
Grade in School
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Health/Special Information
Special needs, allergies, or any other information to best serve the child
Emergency Contact
Emergency Contact Name

First NameLast Name
Emergency Contact Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Consent & Signature
Print Name of Parent/Guardian

First NameLast Name
Signature of Parent/Guardian
Photo Permission Section
Photo Permission
Parent’s/Guardian’s Printed Name & Signature

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: