HUMC Elementary Kid’s Registration Form – 2006 / 07



Family Information:

Parent Name(s): ______________________________________________

Address: ________________________________________________ ________________________________________________

Phone: ________________ Email: __________________________________

1st child Information (1st – 6th grade only):

Name: _________________ Birth Date: ______________ Gender: _____ Grade (2018 / 19): ______ Date Baptized: ____________________

Allergies (food / medication / other): _______________________________________

Please sign my child up to serve / participate in the following programs:

____ Sunday morning Kid’s Konnection @ 10:00 am

___ My 4th – 6th grader may be dismissed at the end of class ________________

____ Kids Praise Crew (open to 2nd – 6th graders)

____ Drama Team (open to 4th – 6th graders)

____ Tech Crew (open to 4th – 6th graders)

____ Stage Crew (open to 5th – 6th graders)

2nd child Information (1st – 6th grade only):

Name: _________________ Birth Date: ______________ Gender: _____ Grade (2018 / 19): ______ Date Baptized: ____________________

Allergies (food / medication / other): _______________________________________

Please sign my child up to serve / participate in the following programs:

____ Sunday morning Kid’s Konnection @ 10:00 am

___ My 4th – 6th grader may be dismissed at the end of class ________________

____ Kids Praise Crew (open to 2nd – 6th graders)

____ Drama Team (open to 4th – 6th graders)

____ Tech Crew (open to 4th – 6th graders)

____ Stage Crew (open to 5th – 6th graders)

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Parent initials

Parent initials

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