FUMC Online Registration

Program Registering For

Oops, Your Manners are Showing 4 yrs – 2nd Grade
Diggin’ Deeper 3rd – 5th Grade

Children Name(s)

Birth Date

Address

Age

Grade

FUMC Member

Yes
No

Other Church

Contact Information

Mothers Name

Mothers Home Phone

Mothers Cell Phone

Mothers Work Phone

Mothers Email

FUMC Member

Yes
No

Other Church

Preferred Contact

E-mail
Phone
Snail Mail

Fathers Name

Fathers Home Phone

Fathers Cell Phone

Fathers Work Phone

Fathers Email

FUMC Member

Yes
No

Other Church

Preferred Contact

E-mail
Phone
Snail Mail

Child Lives With

Father
Mother
Both

If yes, provide additional Address, City, State, Zip

Emergency Information

Name

Contact Relationship

Home Number

Work Number

Cell Number

After submission you will be directed to a page where you can download medical and concent forms to be submitted on day of activity

Please note: Image verification must match exactly