Love, Joy, Peace...
Youngsville Free Methodist
Home
Home
Upcoming Events
Change Login Email
Change Password
Sign Out
Name
(
Required
)
Email Address
(
Required
)
Name of Parents or Guardians (
Required
)
Address: House number, Street, City, State, Zip (
Required
)
|
Phone Number (
Required
)
Childs Name (
Required
)
Relationship to You (
Required
)
Age (
Required
)
Date of Birth (
Required
)
List any Allergies or Dietary Restrictions (
Required
)
Emergency Contact Name (
Required
)
Emergency Contact Relationship to Child (
Required
)
Emergency Contact Phone Number (
Required
)
Photo/ Video Release (
Required
)
I understand that my child may be photographed or recorded on video during the course of Children's Church and related YFMC activities. I provide consent for their image to be used in prince, electronic, or video form to display within the church and/or the church website and social media pages.
Yes
No
I herby give my permission for the above named child to attend Children's Church and participate in activities at Youngsville Free Methodist Church. I understand that my children will be under adult supervision. I further understand that in signing this pe (
Required
)
Signature and Date required.
Solve 3 + 6 = ?
Submit
churchtrac
churchtrac
churchtrac