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FUMC PRESCHOOL & KINDERGARTEN REGISTRATION
2022-2023
CLICK HERE
to view the MSDH Parent Regulation Summary.
CHILD'S INFORMATION
*
Indicates required field
Child's Full Name
*
First
Last
Name Child Goes By
*
Date of Birth
*
Names and Ages of Siblings
*
Address
*
Address Line 2
*
City, State, Zip Code
*
MEDICAL INFORMATION
Child's Primary Care Physician
*
Phone Number
*
List any special needs or medical history.
*
Please list any medications your child takes on a regular basis.
*
Please list any allergies. (Please bring a doctor’s statement for food allergies.)
*
Please list any other information you feel we need to know about your child, including nap schedule, security aids, feeding schedule.
*
PARENTAL INFORMATION
Does the child live with both parents?
*
Yes
No
If no, list with whom the child lives and the marital status of that parent:
*
Mother's Name
*
First
Last
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Mother's Cell Number
*
Mother's Email
*
Mother's Church Affiliation
*
Mother's Place of Employment
*
Mother's Work Number
*
Father's Name
*
First
Last
Father's Cell Number
*
Father's Email
*
Father's Church Affiliation
*
Father's Place of Employment
*
Father's Work Number
*
CLASS SELECTION
Child must be of age by September 1.
I wish to enroll my child in:
*
Infant (3-12 months) Tuesdays & Thursdays; 9 a.m. – 2 p.m.
Play School (Toddlers 12-24 months) Tuesdays & Thursdays; 9 a.m. – 2 p.m.
Pre-School (2-Year-Olds) Tuesdays & Thursdays; 9 a.m. – 2 p.m.
Preschool (3-Year-Olds) Tuesdays, Wednesdays, & Thursdays; 9 a.m. – 2 p.m.
Preschool (4-Year-Olds) Mondays-Thursdays; 9 a.m. – 2 p.m.
Kindergarten; Monday-Thursday; 9 a.m. – 2 p.m. & Friday 9 a.m. – 12 p.m.
PERMISSIONS
My child may be photographed at FUMC Preschool.
*
Yes
No
My child's photograph may be posted on the Preschool and Church Social Media & Website.
*
Yes
No
My child may take approved field trips sponsored by FUMC Preschool.
*
Yes
No
My child may be given medications with parental permission.
*
Yes
No
The FUMC Preschool may give my child emergency medical treatment if needed.
*
Yes
No
My child is toilet trained:
*
Yes
No
If no, a conference will be scheduled for certain age children.
EMERGENCY CONTACT
In case of an emergency and the PARENTS cannot be reached, contact the following people
Name
*
First
Last
Relationship to Child
*
Phone Number
*
Name
*
First
Last
Relationship to Child
*
Phone Number
*
Name
*
First
Last
Relationship to Child
*
Phone Number
*
Name
*
First
Last
Relationship to Child
*
Phone Number
*
The following people have permission to pick my child up from school:
*
I have been given and have read a copy of the MSDH Parent Regulation Summary.
*
Yes
No
See link at the top of this page.
I agree to pay fee on the first of each month or as agreed upon.
*
Yes
No
Submit
Home
About
Worship
Who We Are
Our Staff
Contact Us
Ministries
Missions
Children
Preschool
Nursery
Youth
Music
Women
Prayer
Library
Visitation
Happenings
Resources
Safe Sanctuary Policy
Event Request Form
2024 Lay Leadership
Worship Sunday, January 21
AED Campus Locations
General Conference Update
Help
Online Worship Bulletins
Hospitality Volunteer
Newsletter
Newsletter Archives 2
Newsletter Archive
Campus map
Online Library
I'm Here
Giving
Worship from Home
Calendar of Events
Adult Sunday School Classes
New Page