Service Time: Sundays 11:00am ⁞ Sunday School: 10:00am

PUMC Children’s Ministry Registration/Change Form

HomePUMC Children’s Ministry...

Fields marked with an * are required

Parent/Guardian Full Name *

Parent/Guardian Relationship to Child(ren) *

Parent/Guardian Phone Number *

Parent/Guardian Email *

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Child's Full Name *

Child's Birthday (mm/dd/yy) *

Child's Gender *

Allergies/Medical Problems: *

Has the child been baptized? *

Does your child have a Bible? *

Please Select Grade/Age *

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Please complete below if you have a second child you'd like to register.

If this does not apply, please proceed to submit.

Child's Full Name

Child's Birthday (mm/dd/yy)

Child's Gender

Allergies/Medical Problems:

Has the child been baptized?

Does your child have a Bible?

Please Select Grade/Age

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