St. Luke's United Methodist Church
Monday, September 06, 2010
The Friendly Church

Wonderful Wednesday Registration 2010 - 2011

We are excited that you are giving your kids a chance to learn and minister to the church and community through Wonderful Wednesdays!!!
Please fill out the required information on the form below for your kids and then click on the "submit" button at the bottom of the page. Be sure to read the instructions for the snack and shirt fees as well. (Please register each year so we can keep accurate phone and emergency information for each child.)
 
Pick up by Church Van is available for Kilgore schools. Please read instructions below.
You can register your chid(ren) any time from August 10, 2010 - April 18, 2011. 
You can download and view the Children and Junior Choir 2010-2011 Calendar by clicking here.

Registration Form

  

First Child

Child's First Name:      Last Name:     
Age/School Grade As of September 1, 2010:     
Name of School Attending: 
Shirt Size: 
 Activities this child will take part in  (check all that apply):     Children and Junior Choirs (3:15 - 5:30)     Power Hour (6-7 PM)
 

Second Child

Child's First Name:      Last Name:     
Age/School Grade As of September 1, 2010:     
Name of School Attending: 
Shirt Size: 
  Activities this child will take part in  (check all that apply):     Children and Junior Choirs (3:15 - 5:30)     Power Hour (6-7 PM)
 

Third Child

Child's First Name:      Last Name:     
Age/School Grade As of September 1, 2010:     
Name of School Attending: 
Shirt Size: 
  Activities this child will take part in  (check all that apply):     Children and Junior Choirs (3:15 - 5:30)     Power Hour (6-7 PM)
 
 
 
Address:
 
Parent Home Phone:     Parent Cell Phone:
Parent Work Phone:     Parent Email:
Parent/Guardian First Name:      Parent/Guardian Last Name:
 
Child Health Insurance information (in case of an emergency)
Company:   Policy #:
 
Any known allergies, including food allergies?:
 
Please list any medications being taken by child(ren):
 
Please give the following information for one additional adult (over the age of 18) other than the one listed above that we can contact in case of an emergency:
Name of adult:
Relation to the child (for example, friend of the family, etc.):
Address:
Adult Home Phone:     Adult Cell Phone:
Adult Work Phone:
 
Children and Junior Choir Snack Fee @ $10 per child: 
Children and Junior Choir Shirt Fee @ $15 per shirt: 
(If your child's shirt from last year still fits,
then you will not need to buy another one for them)
 
    Please add snack and shirt fees for total needed: $
You can bring your payment to the church office, or mail it to:
St. Luke's UMC
Children/Junior Choirs
401 East Main
Kilgore, TX  75662
 

 If you want the church vans to pick up your child(ren) from a Kilgore school, please also do the following:

  1. Download and print the Permission Form. There are two forms per page for those with more than one child in the choirs. We will need one permission form per child needing to be picked up. (The permission form is in PDF format which can be viewed in Adobe Reader®. If you need Adobe Reader®, you can click on the link for it at the bottom of this page.)
  2. Fill out the printed form and bring it to the church office or mail it to the church (see address below) along with your snack/shirt fees.
We cannot pick up your child(ren) from a school until we have the permission forms in hand. We will take care of giving the permission forms to the schools. We will keep a copy in our files as well.
 
Please download and view theChildren and Junior Choir 2010-2011 Calendar by clicking HERE.
Don't forget the PERMISSION FORM for church van pick up from Kilgore Schools!