Sunday School Enrollment

Child's Name*

First Middle Last

Child's Preferred Name

First

Child's Birthdate*

MM

DD

YYYY

Child's Age as of September 1, 2017*

Early Childhood or Elementary?*

Early Childhood (6 weeks - kindergarten)
Elementary (1st Grade - 5th Grade)

Early Childhood Sunday School meets in the 1st Floor Children's Area. Elementary Sunday School meets in the 3rd Floor Children's Area.

Grade for '17-'18 School Year*

School attending '17-'18?

If your child is in Pre-K or Kindergarten, what school will he/she attend for the '17-'18 school year?

Child's Gender*

Male
Female

Allergies

Are there any special needs, concerns, illnesses, health problems, or situations that might affect this child's adjustment in Sunday School? If yes, please explain:

Child's Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Is this child baptized?

Yes
No

If no, would you like to be contacted about baptism?

yes
no

Guardian 1: Name*

First Last

Guardian 1: Relation to Child*

Guardian 1: Occupation

Guardian 1: Cell Phone*

Guardian 1: Work Phone

Guardian 1: Email*

Is Guardian 1's address different than Child's?*

yes
no

Guardian 1: Address

Street Address Address Line 2 City State ZIP Code

Guardian 1: McFarlin Member?

Yes
No

Guardian 2: Name

First Last

Guardian 2: Relation to Child

Guardian 2: Occupation

Guardian 2: Cell Phone

Guardian 2: Work Phone

Guardian 2: Email

Is Guardian 2's address different than Child's?

yes
no

Guardian 2: Address

Street Address Address Line 2 City State ZIP Code

Guardian 2: McFarlin Member?

Yes
No

Adult Sunday School Class (so we can located you in an emergency)

**Per McFarlin policy, parents must remain on site while children are in Sunday School**

Please check here if you would like to be contacted about serving within Children's Ministries

Yes, I would love to be the hands and feet of Jesus by serving in Children's Ministries!

IN CASE OF EMERGENCY, IF PARENT CANNOT BE LOCATED, PLEASE CONTACT:*

Name

*

Phone

Child's Physician (in case of emergency)

Name & Phone Number

Medical Release*

Yes
No

By selecting "yes," I hereby release and agree to hold harmless McFarlin Memorial United Methodist Church and its staff from any and all liability associated with the medical care and treatment of my child by a qualified health care provider. I further authorize, in case of emergency, accident, or medical crisis involving my child, McFarlin Memorial United Methodist Church and its staff to transport and authorize for the treatment of my child any and all care necessarily determined by an authorized/qualified health care provider in my absence while my child is under the custody, care and control of McFarlin Memorial United Methodist Church.

Medical Release Signature*

Photo & Video Release*

Yes
No

By selecting "yes," I give permission for videotapes and/or photographs of my child to be used by McFarlin Memorial United Methodist Church to the purpose of identification, education, or promotion in both internal/external publications. This may include the McFarlin Church Facebook page and church websites.

Photo & Video Release Signature*

Children's Sunday Morning Enrollment 2017-2018