Children’s Ministry Student Information Form

Children’s Ministry Student Info Form

Please fill in the form below.
Child's Full Name*

PrefixFirst NameLast Name
Date of Birth
Grade in School
Medical Conditions or Allergies
I prefer that my child wear a mask when participating in MZ activities that are inside.*

YesNo
Parent's Full Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Home Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Cell Service Provider (to send text from email)
Can this cell number be used to send ministry announcements?

YESNO
Do you give Mt. Zion UMC permission to use any photo or likeness of yourself or your child for promotional materials and materials shared with the public, via press releases, social media, and websites to raise public awareness of this ministry?

YESNO
Photo Release Form (adult signature required)

Clear
Should be Empty:

Children’s Ministry Student Info Form