First United Methodist Church
Sunday, July 03, 2022
Growing and Sharing our Faith in God
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First Friends Registration
Registration Form
Child's Information
Child's Name
Child's Gender
Child's Age
Child's Date Of Birth
Home Address
City
State
Zip Code
Home Phone #
Father's Information
Father's Name
Father's Cell Phone
Father's Employer
Father's Employer Phone
Mother's Information
Mother's Name
Mother's Cell
Mother's Employer
Mother's Employer Phone
Other Children in the Family
Child 2 Name
Age
Gender
Child 3 Name
Age
Gender
Child 4 Name
Age
Gender
Releases
Please list people other than parents to whom your child may be released.
Release 1 Name
Phone #
Relationship
Release 2 Name
Phone #
Relationship
Release 3 Name
Phone #
Relationship
Note:If the child is to be released to someone other than parents or the listed then a note is required with your signature on that day.
Other
Does the child:
Have Allergies (if so please list)
Take Medications (if so please list)
Have Any Other Conditions We Should Know About
How did you learn about our preschool? (place an x in the box if yes)
Times Bulletin
Other Parents
Channel 4
Other(please explain)
E-mail Address (without this we will not be able to complete your registration)
Registration is not complete until we have received you non-refundable registration fee of $40.
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