Infant – 6th Grade
Date___________________________________
Parent’s
names _________________________________________
Student(s) lives with: ________________________
Address______________________________________________________________
Zip_____________________________
street
city
q Add me to your Unity Parents
mailing list.
Parent’s E-mail Address:______________________________________________________
Phone numbers
_______________________
_________________________
_______________________
(Area code) Home phone
(Area code) Work phone
(Area code) Cell phone
Child’s Name
___________________________ Gender
M F
Age ______ Birth Date
___________ Grade _________
Child’s Name
___________________________ Gender
M F
Age ______ Birth Date
___________ Grade _________
Child’s Name
___________________________ Gender
M F
Age ______ Birth Date
___________ Grade _________
Child’s Name
___________________________ Gender
M F
Age ______ Birth Date
___________ Grade _________
List special needs or considerations (allergy, medical,
pick-up info, etc.) we should be aware of to best serve your child.
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
To enhance
your child’s experience in our Youth Ministry Program, would you be willing to
periodically help with:
_____
Assist at the Sign-in Desk.
_____
Assist as a Guardian (help getting children to and from Sanctuary,
checkout, cleanup).
_____
Teach or assist in classrooms once or twice a month.
_____
Substitute teach or assist, or float once a month in the classroom.
_____
Assist with special events.
_____
Bake or Cook for special events.
Service we
usually attend: ____
9:00am ____ 11:00am
Photo Release:
I hereby give permission to
Unity Church of Dallas to photograph my child and use such photographs in all
forms of media, for any and all promotional purposes including advertising,
publicity, display, and audiovisual uses. I understand the term "photograph" as
used herein encompasses still photographs, audio recording and motion picture
footage. I will make no monetary or
other claim against Unity Church of Dallas for the use of the
photograph(s)/video.
Print full name:
_________________________________________________
Signature:
_____________________________________________________