Youth & Families Registration 2025-2026

Parent Information

Name

This address will receive a confirmation email

Phone (Cell)

Phone (Home)

Permission to text?

Yes No

Address

Parent 2

Parent 2 Phone

Permission to text? Yes No

Email Parent 2

Emergency Contact

Emergency Contact - Relationship to child(ren)

Emergency Contact Phone

Child 1 Information

Child 1

Pronouns

Phone (Child's Cell)

Permission to text Yes No N/A

Date of Birth

Child's address

Same as above Different than above

Allergies Child 1

Child 1 Program Registration

Nursery (birth-Kinder) Faith Exploration/Sunday School (1st-7th) Middle School Youth Group (6th-8th) High School Youth Group (9th-12th)

Child 2 Information

Child 2

Pronouns

Phone (Child #2's Cell)

Permission to text? Yes No

Date of Birth Child 2

Allergies Child 2

Child 2 Program Registration Nursery (birth-Kinder) Faith Exploration/Sunday School (1st-8th) Middle School Youth Group (6th-8th) High School Youth Group (9th-12th)

Child 3 Information

Child 3

Pronouns

Phone (Child #3's Cell)

Permission to text? Yes No

Date of Birth Child 3

Allergies Child 3

Child 3 Program Registration Nursery (birth-Kinder) Faith Exploration/Sunday School (1st-8th) Middle School Youth Group (6th-8th) High School Youth Group (9th-12th)

General

Is there anything else regarding your child(ren) that you would like us to be aware of?

Are you willing to volunteer one Sunday a month?

Elementary Middle School Either I'm unable (please explain below)

Do you need a Bible at home?

Yes No

Legal Stuff

Does MCC have permission to take photos of your child for promotional/social media purposes?

Yes No

I, the undersigned, agree with the following statements: 1. I am the parent/guardian of the child(ren) indicated above. 2.If emergency medical care is needed and I am unavailable, I authorized the supervising teacher to seek medical treatment for my child. (Plese type your name below)

Description

MCC deeply appreciates the opportunity to provide a diverse range of programs for our children and youth. Kindly complete this form, which will enable us to gather the necessary information to ensure optimal care for your family. Any information shared will only be disclosed to staff and teachers when deemed essential.

Youth & Families Registration 2025-2026

Description

Please Fix the Following