FUMC Youth Learning Pod Registration
Claim a space in the Learning Pod at FUMCOR for youth in grades 6-12 beginning on Monday, October 19. For now, this is exclusive to our church's youth, but may expand to students in the OR community if it goes well.
This pod will provide a safe learning space with internet access for students to succeed in virtual learning.

After registration, expect to be contacted by email from Kayla Carico, Director of Youth Ministries, within the next two weeks.
Sign in to Google to save your progress. Learn more
Email *
Student Name (First/Preferred and Last) *
Which days are your virtual learning days (the days that you will spend in the Learning Pod)? Select all that apply. *
Required
On these days, will you be in the Learning Pod in the morning, afternoon, or both? *
Students are expected to bring their own lunch. However, we understand that this isn't easy for every family and we can feed students as needed. Will you need assistance with lunch?
Clear selection
What time does your virtual learning day begin?
What time does your virtual learning day end?
Please let us know how to best contact you, the parent or guardian, by sharing your name, phone number, email address, and any other relevant information. *
List additional emergency contact information here (name and phone number): *
List important medical information we will need to know in case of emergency (medical conditions, medications, allergies, etc):
Students will be required to follow our church's COVID-19 protocols, which can be found at fumcor.org/covid19. Students will also be required to behave well, be respectful, and not disrupt the learning of others. Do you agree to follow all necessary protocols and rules for the FUMC Youth Learning Pod? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy