Maplewood United Methodist Church - MUMC Children's Ministry Registration Form

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First Name

Last Name

Date of birth

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Additional Phone Number

Best Way to contact me during Sunday School?

Call Cell

Text

Get me from Sanctuary

Any Allergies or Health Concerns We Should Be Made Aware of?

People With Permission to pick up my child from Sunday School or the Nursery.

1. Name:

1. Number:

1. Relationship to Family:

2. Name:

2. Phone Number:

2. Relationship to Family:

3. Name:

3. Phone Number:

3. Relationship to Family:

Emergency Contacts

Emergency Contact 1: Name

Emergency Contact 1: Phone Number

Emergency Contact 2: Name

Emergency Contact 2: Phone Number

Emergency Contact 3: Name

Emergency Contact 3: Phone Number

Please answer each question below

I have voluntarily provided contact information and authorize Maplewood United Methodist Church and its representatives to contact any of the above on my behalf in the event of an emergency.

Yes

I give permission for my child to be taken to the hospital in case of emergency, and consent to emergency treatment until the time of my arrival at the hospital. I understand every effort will be made to contact me in the event that such an emergency takes place.

Yes

I understand that a parent/guardian is expected to be on church property when their child is being cared for in the Church Nursery, unless under special circumstances.

Yes

I would like information about volunteering in the Nursery or on the Children's/Youth Ministry Team (Optional)

Yes

Registration Signature

Media Release Permission

We would like to use pictures for social media or church communications showing our children and adults in Worship, Sunday School, and special programs. The joy and enthusiasm of our children is a vital part of our church. Generally, the photographs we use will show children enjoying being part of Maplewood United Methodist Church.
We want to make sure all parents have given permission for these pictures to be used. It is our policy to only use first names internally and no names externally. No last names will be used, and photographs will not be used for profit!
*Photographs sent to Pastor Kim or Brittany Link for use in worship are assumed to have been given permission for internal use. If you have any questions about the use of media at the church contact Brittany Link at buxton6789@gmail.com.

I agree to the use of my child's picture for Internal Use in the Church Newsletter.

Yes, I agree

No, I decline

I agree to the use of my child's photos for External use on the Church Website & Social Media. (This includes singing onstage, Parades during live-streaming, & Time with Young Disciples)

Yes, I agree

No, I decline

Media Release Signature

Text Area

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Maplewood United Methodist Church
7409 Flora Avenue
Maplewood, MO 63143
314-781-5902
Maplewoodumc@maplewoodumc.org