Children's Ministries Registration Form

Children's Ministries Registration Form

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

Month Day Year
Please Check All That Apply

New Family First Time Visitor Cabot UMC Family Update
Mother's Name

First Name Last Name
Cell Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Mother's E-mail
Father's Name

First Name Last Name
Cell Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Father's E-mail
Emergency Phone #

Area Code Phone Number
Address:

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Child #1

First Name Last Name
Birth Date:

Month Day Year
Grade
Grade for 2020-21 School Year
Allergies/Medical Conditions
Child #2

First Name Last Name
Birth Date:

Month Day Year
Grade
Grade for 2020-21 School Year
Allergies/Medical Conditions
Child #3

First Name Last Name
Birth Date:

Month Day Year
Grade
Grade for 2020-21 School Year
Allergies/Medical Conditions
Child #4

First Name Last Name
Birth Date:

Month Day Year
Grade
Grade for 2020-21 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 School Kids ROCK WOW (Children's Worship) Other. Please describe below.
Should be Empty: