Elementary Registration 2018-2019

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Parent/Guardian 1 Name

Parent/Guardian Email

Parent/Guardian Phone

I can receive texts

Please select all that apply.

Yes No

Parent/Guardian Address

Relation to child(ren)

2nd Parent/Guardian Name (if applicable)

2nd Parent/Guardian Email

2nd Parent/Guardian Phone

I can receive texts at this number

Please select one option.

Yes No

2nd Parent/Guardian Address, if different

Other safe adults who are authorized to pick up your child. If none, enter "none"

Name of Child

Birthdate of Child

Grade for 2018-2019 School Year

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

School Attending

Please list any allergies, medical conditions, or learning differences, as well as how we can best equip your child (this information is confidential). If none, enter

Name of 2nd Child

Birthdate of 2nd Child

Grade for 2018-2019 School Year

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th

School Attending

Please list any allergies, medical conditions, or learning differences, as well as how we can best equip your child (this information is confidential). If none, enter

We take pictures and videos of kids doing projects or activities from time to time, and use them for slides, videos, and other promotional materials, which may include social media. Do you give Aldersgate United Methodist Church the rights to use images of your child for these purposes?

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Yes No

Anything else we should know?

Description

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Elementary Registration 2018-2019

Description

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