NRUMC Kids & Youth Ministry Registration Form 2022-2023
Please use this form to complete your child's/youth's registration for the 2022-2023 year at NRUMC.  If you have more than one child to register, a link to submit another form will be provided after you click SUBMIT. You will receive a confirmation email containing your responses after submitting. Thank you for completing this form in its entirety, it helps us keep our records accurate so that we can best communicate with you!!

Children's programming questions, contact Gretchen Shea at gretchens@nrumc.org
Youth programming questions, contact Jen Haselden at youthministry@nrumc.org
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Email *
Child/Student First Name *
Child/Student Last Name *
Date of Birth
Please be sure to select the correct year. 
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Gender Identity/Preferred Pronouns; *
Student Email (6th-12th Grade Only)
What school does your child attend? (2022-2023 year) *
Grade Level (2022-2023)
For preschool-aged children, we follow the Wake County Schools cut-off date of August 31, 2022 - in making your child's grade selection, please use their age as of that date. Questions, contact Gretchen Shea. PLEASE NOTE, all Youth (6th-12th grade) must also turn in a Health/Parental Consent Form, which is available for download on the church website www.nrumc.org. 
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Please tell us if your child is on a traditional, modified, or year-round track and what track. 

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Home Address *
City *
State *
Zip Code *
Parent/Guardian 1 First and Last Name *
Parent/Guardian 1 Phone *
Parent/Guardian 1 Email *
Parent/Guardian 1 Relationship to Child *
Parent/Guardian 2 First and Last Name
Parent/Guardian 2 Phone

Parent/Guardian 2 Email 
Parent/Guardian 2 Relationship to Child

Does your child/student have any allergies /medical/dietary/special concerns? *
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