2015-2016 REGISTRATION FOR CHILDREN AND YOUTH PROGRAMS
OF ALDERSGATE UNITED METHODIST CHURCH
Please check all programs that your child would like to participate in:
___ Sunday School (age 3-12th grade)
___ Worship Arts (age 3 - 4th grade)
___ Youth Bells (grades 5 –12)
___ Youth Music Ensemble (grades 5 -12)
___ Junior Youth Group (grades 5 - 8)
___ Youth God Squad (grades 9-12)
(8th grade youth will join the Youth God Squad occasionally)
___ 6:31 Worship Team (grades 8 – 12)
Child’s Full Name: ____________________________________ Grade in School _____________
Child’s Preferred Name: ________________________________Date of Birth ________________
Mailing Address _______________________________________Phone # ___________________
City/Town ___________________________ State _______________ Zip _____________
Name of Parent(s)/Guardian(s) ________________________________________________________________
Primary Phone # _______________________ Parent’s e-mail _______________________________________
Are there any medical conditions, allergies or dietary restrictions that we should know about?
_________________________________________________________________________________________
Does your child require special assistance or is there any information you feel we need to know about your
child?
_________________________________________________________________________________________
Children/Youth in Aldersgate U.M.C. programs may be photographed or videotaped. Their pictures may be
displayed within our church on bulletin boards, at special events, in publications and on our website. Names
will not be published with photos on the website.
Please sign to give consent for your child to be photographed and/or videotaped:
Parent/Guardian Signature ________________________________________ Date _______________
Children in grade 2 and younger must be dropped off and picked up by a parent or
guardian at the room where the program takes place.
Please list other adults or siblings who are authorized to pick up your child:
Name _______________________________________ Relation______________________________
Name _______________________________________ Relation______________________________
We are encouraging all parents to help out with our church school program this year.
Please review the following ways you can help out and check off how you can help!
___ helper in class
___ substitute teach
___ help with Advent Workshop
___ help with Christmas Pageant ___ help with Junior Youth ___ help with Senior Youth God Squad
___ Family Greeter for 8:30 a.m. Worship Service
____ Family Greeter for 10:45 a.m. Worship Service