Children's Ministries Registration Form

Children's Ministries Registration Form

Please complete this form to participate in our activities.
Todays Date

MonthDayYear
Please Check All That Apply

New FamilyFirst Time VisitorCabot UMC Family Update
Mother's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Mother's E-mail
Marital Status

MarriedSingleDivorcedWidowedOther
Father's Name

First NameLast Name
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Father's E-mail
Marital Status

MarriedSingleDivorcedWidowedOther
Other/Emergency Contact

First NameLast Name
Other/Emergency Phone #

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Child #1

First NameLast Name
Birth Date:

MonthDayYear
Grade
Grade for 2021-22 School Year
Allergies/Medical Conditions
Child #2

First NameLast Name
Birth Date:

MonthDayYear
Grade
Grade for 2021-22 School Year
Allergies/Medical Conditions
Child #3

First NameLast Name
Birth Date:

MonthDayYear
Grade
Grade for 2021-22 School Year
Allergies/Medical Conditions
Child #4

First NameLast Name
Birth Date:

MonthDayYear
Grade
Grade for 2021-22 School Year
Allergies/Medical Conditions
Photo Release:

Please check a box below to let us know if you will allow Cabot UMC to take photos of your child/children during various church activities. Photos can be released to area newspapers, church websites, Facebook, app, and Cabot UMC publications.
Yes. Cabot UMC has my permission to take photos of my child/children.No. Cabot UMC does not have my permission to take photos of my child/children.
We are signing up for:

Sunday SchoolKids ROCKWOW (Children's Worship)Other. Please describe below.
Should be Empty: