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FaithWORKS Registration 2016

Thank you for your interest in the FaithWORKS program

This is a multi-part form. Please complete each part of the form before continuing to the next. You will be able to submit the information when you finish the last page of the form.

Child #1

Name (*)
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School Grade Fall 2016 (*)
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Medical Information
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Please provide any allegies or pertinent Medical Information for your child.
   

Child #2 Information (Not Required)

Name
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School Grade Fall 2016
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Medical Information
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Please provide allergies or other pertinent medical information for your child
   

Child #3 Information (Not Required)

Name
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School Grade Fall 2016
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Medical Information
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Please provide allergies or other pertinent medical information for your child
   

Child #4 Information (Not Required)

Name
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School Grade Fall 2016
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Medical Information
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Please provide allergies or other pertinent medical information for your child
   

Parent Information

Parent's Name (*)
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Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Phone Number (*)
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Email Address (*)
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Church Home (*)
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Emergency Contact Information

Emergency Contact - Name (*)
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An Emergency Contact other than the Parent is required
Emergency Contact - Phone # (*)
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An Emergency Contact other than the Parent is required
   

OTHER WAIVERS

PHOTO/VIDEO RELEASE:

Parental/Guardian consent is required if you allow your child to be photographed and/or video taped in the school setting. This media would be used in program slide shows or for display around our building. Occasionally, a photograph may be turned in to the local paper informing people of a special event that has or will be happening at AUMC. There will be no personal information such as addresses or phone numbers given.

Photo Waiver (*)

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Program Costs:

There will be a fee of $25 for each child participating in the AUMC FaithWORKS program in 2016. This fee covers the cost of the Bible and T-Shirt they will receive as part of the program as well as other costs. The fee will be due by the first session on September 7th. If paying the $25 fee results in a hardship on your family please contact the AUMC Children's Director, Amanda McNulty so other arangements can be made.
Electronic Signature (*) Electronic Signature
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Submit Form

Worship Schedule

Sunday Morning
8:15 am
Communion
9:30 am
Contemporary
11:00 amĀ 
Traditional

Wednesday Night
6:30pm
Witness & Worship