COMPASSION CAMP CHILDREN'S SUNDAY SCHOOL REGISTRATION

Please register your child for the Compassion Camp 2023-24 academic year

CHILD'S INFORMATION

Student Name

Birthdate (XX/XX/XXXX)

2023-24 Grade in School

Please select one option.

0-3years old (Nursery) Pre-K K 1 2 3 4 5

If your child is in the nursery (0-3), not potty-trained, or just needs extra help, do you give permission for the Safe Sanctuary trained volunteers to help your child use the bathroom or change their diaper?

Please select all that apply.

Yes I give permission for you to help my child use the bathroom I do NOT give permission, please call / text me if my child needs their diaper changed or to use the bathroom. This does not apply to my child, they are old enough and don't need help.

Mailing Address (Street, City, State, Zip Code)

Allergies or Special Needs

PARENT/GUARDIAN INFORMATION

Full Name of Parent Completing Form

Parent's Email

Mailing Address of Parent, if different from child's

Best phone number to reach you?

Other adults who may pick up the child? What is/are their names?

Discipleship Opportunities

How can Pastor Tayler pray for or support you and your child this year?

Would you like more information about small group formation opportunities for adults?

Please select one option.

Yes No, Thank You Maybe

Are you interested in teaching or substituting for Sunday School?

Please select one option.

Yes No, Thank you Maybe

Are you interest in helping in our Nursery?

Please select one option.

Yes No, thank you Maybe

MEDIA RELEASE

Please check one

Please select one option.

Yes it is okay for you to publish a photo or video of my child with their name. Yes it is okay to publish a photo or video of my child but without their name Yes it is okay to display a photo or video of my child, but only for internal PUMC (bulletin boards, newsletters) No I would not like any photos or videos of my child used by PUMC

COVID-19 HEALTH & SAFETY

If my child is experiencing symptoms or has been exposed to COVID, or tested positive for COVID, I will keep them at home.

Please select all that apply.

Yes

PARENT'S AUTHORIZATION

I authorize this information and use this check mark as a signature of my responses.

Please select all that apply.

Authorization

Description

Please register your child for the Compassion Camp 2023-24 academic year

COMPASSION CAMP CHILDREN'S SUNDAY SCHOOL REGISTRATION

Description

Please Fix the Following