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2021-2022

CHILDREN'S MINISTRY

PROGRAM REGISTRATION

WELCOME TO FIRST UNITED METHODIST CHURCH'S

CHILDREN'S MINISTRY FAMILY!!

All children ages Birth through 6th grade must be registered

to ensure everyone's safety and enable our staff

and volunteers to best serve your child(ren) and family.

This form will cover the period June 1, 2021 through August 31, 2022

Children's Ministry Registration Information

Child's Name*

Date of Birth*

Age as of 9/1/2021*

If applicable, school grade in Fall 2021

Name of School (beginning Fall 2021

If child is age 12 or older, have they received the Covid-19 vaccination?

Yes
No
I choose not to answer

Child's Primary Mailing Address*

Parent/Guardian Name*

Parent/Guardian Address*

Parent/Guardian Email*

Parent/Guardian Cell Phone*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Parent/Guardian Home Phone*

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Additional Parent/Guardian Name

Additional Parent/Guardian Address (if different from above)

Additional Parent/Guardian email

Additional Parent/Guardian Cell Phone

Yes, it's okay to send me text messages including confirmations, changes, updates, and/or promotions. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Medical Information

All children who participate in programming which may be held offsite or where parents/guardians are not present (Ex.: Club123, J.U.M.P., etc.), are required to complete a Master Medical Form prior to their attendance at any such event. To access a copy of the form, click here. Please email this form to [email protected] or [email protected] or leave a hard copy with a member of the Children's Ministry staff.

This form will be kept on file with the church for the program year 2021-2022. Please submit a copy of the front and back of medical insurance card card to the church office along with the medical form.

Additional Information

Please share any preferred learning styles, preferences, or behaviors that will help the Children's Ministry staff best serve your child

Please list any allergies or medical conditions of which the Children's Ministry staff should be aware

Child's Area of Interest*

Nursery (Ages 0-2)
Children's Sunday School (Pre-K through 4th Grade from 9:15 a.m.-10:15 a.m.)
Sunday Morning Children's Chapel (Pre-K through 4th Grade following "Time with Young Disciples" in Worship)
Connect 56 (Sunday mornings, 5th & 6th Grade)
Club123 (Fellowship group for Grades 1-3)
J.U.M.P. (Fellowship group for Grades 4-6)
Children's Choir (Grades 1-6)
Middle School Youth Group (Grades 6-8)
Christmas Pageant
Creation Camp (June 2022)
Vacation Bible School (July 2022)
Family Camp (August 2022)

Parents/Guardians: Your support of Children's Ministry programs is welcomed! Please indicate areas of interest below:

Your support of Children's Ministry is celebrated and essential! There are many ways to serve on and beyond Sunday mornings both to help nurture our young disciples' spiritual formation and be nurtured in the process. Please indicate areas of interest below.

Teaching or Assisting with Sunday morning Sunday School or Chapel
Assisting with Club213 or J.U.M.P.
Assisting with Christmas Pageant
Volunteering with summer camp programming
Assisting with mailings and special deliveries

Photo, Video, Podcast, Social Media, Live Stream Release

First United Methodist Church of Evanston, IL may use photographs and/or videos of and quotations from our children in our print publications, website and social media pages. These photos, videos and quotations are never associated with the full name of the child. Photos, videos, and quotes are used solely to promote and support our ministry.*

I/We agree with the above statement of release.
I/We DO NOT agree with the above statement of release.

Electronic Submission Form*

By clicking the submit button, I am hereby registering my child for 2021-2022 programming activities at First United Methodist Church of Evanston.

I have read and agree to the terms above.

RegFox Event Registration Software

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