Temple Time Registration
Parents Morning Out Registration
Wednesday, September 4, 2024 - April 2025
Sign in to Google to save your progress. Learn more
Email *
Child's Name *
Child's Age *
Child's Birthday *
MM
/
DD
/
YYYY
Home Address *
Child's Doctor *
Doctor's Phone Number *
Preferred Hospital *
Allergies/Medical Conditions *
Additional information you would like us to know about your child (e.g. Does your child have any special interests? Pets?) *
I grant Methodist Temple's Temple Time Parents' Morning Out my permission to use photographs for any legal use, including but not limited to publicity, illustration, advertising, web and social media content. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.  *
Parent/Guardian Name *
Parent/Guardian Address, if different from child
Parent/Guardian Email *
Parent/Guardian Cell Phone Number *
Additional Parent/Guardian
(include Name, Address, Email, Cell Phone)
Additional Parent/Guardian
(include Name, Address, Email, Cell Phone)
Additional Parent/Guardian
(include Name, Address, Email, Cell Phone)
Siblings 
(include Names/Ages/Grades/Schools)
*
Other Individuals Living in Your Home
(include Names/Relationship to Child)
*
People authorized to pick up your child
(include Cell Phone numbers if not already listed)
*
Church Affiliation, if any *
Would you be interested in learning more about Methodist Temple Youth or Children's Ministry events? *
Would you be interested in learning more about Worship Services and Sunday School Classes at Methodist Temple? *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Methodist Temple. Report Abuse