Please complete this form for each child. (Click here, if you prefer to mail in or bring your registration to the church.)
Gender: Male Female Child’s Age on 9/1/08:
Street Address
City State Zip
Home Phone E-mail
Name of buddy (only one request per child):
Father’s Name:
Other Name:
Best number to reach:
Medications:
Medical Conditions/Special Needs:
I hereby give Suncreek United Methodist Church authorization to have my child treated in the event of a medical emergency.
Name of person giving consent: Date:
Press the submit button when you have completed this form.
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