Marriage Course Childcare Registration (19months-preschoolers)

Child's Information

Photo

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Name

Date of Birth

Is Your Child Potty Trained? Yes No Almost

Does your child have any medical conditions we should be aware of?

Does your child have food allergies or dietary restrictions?

Any additional information we should know about your child?

Parent's Information

Parent's First and Last Name

This address will receive a confirmation email

Phone

Address

Emergency Contact (Other than parent above)

First and Last Name

Phone Number

Relationship to child

Dinner

Please provide pizza for my child I will send food with my child

Description

If you are attending a Church class, Bible study, or group on the Church campus and you would like childcare (ONLY FOR CHILDREN 6 WEEKS THROUGH 5th GRADE), please fill out this form FOR EACH CHILD. There are limited spots available for childcare. If all spots are filled, you may request via email (tara@fumc-rr.org) to be added to the childcare waitlist. If you reserve a spot and miss two events in a row without communicating with the preschool coordinator (Tara Harrelson), your childcare spot will be given to a family on the waitlist.

Marriage Course Childcare Registration (19months-preschoolers)

Description

Please Fix the Following