Lodi United Methodist Church

	Sunday School Registration

		2009-10

Child’s Name______________________________________

Address__________________________________________

_________________________________________________

Phone_______________ E-Mail_______________________

Birthdate__________________           Grade____________

Parent/Guardian Name______________________________

Where Parent/Guardian will be during Sunday School

_________________________________________________

Special Concerns/Allergies

_______________________________________________

_______________________________________________

I can help with the following education areas:

Nursery________ 		VBS		_______

Children's Church______ 	Substitute teacher_____

End of Year Program______  	Make Treats __________

Teacher Appreciation Dinner_______	Other _________

I give permission for photographs or videos of my child to be used

in church promotional materials.  Yes ___  No ___

Parent/Guardian Signature __________________________________