Open Heart UMC Youth & Child Registration 2024-25

Please fill out this form for children from your family you intend to bring for Sunday School or other activities/programs, who will be in school from K-12th grades. This will help us get to know your child(ren), their background and needs more quickly. We want to be able to serve your family well. If you have questions, please contact our church office at 605-343-1813 or OpenHeartUMC@gmail.com. Thank you!

 

Please enter the date of filling out the form

 
 

Parent / Guardian Information

 

Please enter your legal first and last name, and add (preferred name) if needed.

 
 
 

Please enter the legal first and last name, and add (preferred name) if needed, of a second adult responsible for children in the family.

 
 

If different from 1st Parent / Guardian

 
 
 

School-Aged Dependent(s) Information

Please tell us about the kid(s) in the family, attending school grades K-12

 

Please enter their 1) first and last name, and preferred name in parentheses, followed by their 2) age and 3) grade. Ex. Andrew Smith (Andy), 10 yrs, 5th grade.

 

Does this child have any food allergies, physical limitations, etc. of which we need to be aware?

 

If YES, please specify those issues for our team's awareness

 
 
 

Please enter their 1) first and last name, and preferred name in parentheses, followed by their 2) age and 3) grade. Ex. Lauren Smith (Lori), 9 yrs, 4th grade.

 

Does this child have any food allergies, physical limitations, etc. of which we need to be aware?

 

If YES, please specify those issues for our team's awareness

 
 
 

Please enter their 1) first and last name, and preferred name in parentheses, followed by their 2) age and 3) grade. Ex. Liam Smith, 8 yrs, 3rd grade.

 

Does this child have any food allergies, physical limitations, etc. of which we need to be aware?

 

If YES, please specify those issues for our team's awareness

 
 
 

Please enter their 1) first and last name, and preferred name in parentheses, followed by their 2) age and 3) grade. Ex. Addison Smith (Addy), 7 yrs, 2nd grade.

 

Does this child have any food allergies, physical limitations, etc. of which we need to be aware?

 

If YES, please specify those issues for our team's awareness

 
 
 

Please enter their 1) first and last name, and preferred name in parentheses, followed by their 2) age and 3) grade. Ex. Amber Smith (Birdie), 6 yrs, 1st grade.

 

Does this child have any food allergies, physical limitations, etc. of which we need to be aware?

 

If YES, please specify those issues for our team's awareness

 
 
 

More about their world...

 

Please enter name and age of siblings who have not yet started school, or have already graduated from high school.

 
 

Name and type (Ex. Mittens, cat)

 
 

Please share more with us about their interests. What gets them excited? What are they happy to do and think about? Please note their name if an interest is specific to an individual and you've listed more than one.

 
 

Are you aware of any particular faith questions or topics of interest your child(ren) has shared with you recently, or that you hope we will address? (ex. who and how God is, why are we here, prayer, the bible, dealing with peer pressure, why Jesus matters, etc.) AND / OR Why is it important for YOU that they are part of a children's / youth program?

 
 
 

Imagery Permission

 

Do we have your permission to take photos / videos of your dependents during church programming and share on social media, via email, and/or in print to further increase awareness of Open Heart UMC and what is offered here?

 

I agree that by typing my name below, I am giving or denying permission for photo usage of my dependents for the next 12 months.