AWOMMA 2025

Child's Name

Child's Preferred Name

Age as of August 1, 2025

Gender

Male Female

Grade (Entering Fall 2025)

Allergies to food/medical conditions/other needs we should know about:

Please check all that appy:

Have had piano lessons Have rung in a hand chime or hand bell choir Have had dance classes Have had art classes Have had speaking role in a play No experience in these areas

Parent/Guardian Information

Parent/Guardian Name

Relationship to Child

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Mailing Address

Name of Home Church

Are you looking for a church? My family is looking for a church home and we're interested in hearing from FUMC!

Emergency Contact 1 with Phone Number

Emergency Contact 2 with Phone Number

Name(s) of person(s) and contact information (phone numbers) of who will be responsible for pick-up after AWOMMA:

My child will be present for the closing program on Friday at noon.

Yes No

I give permission for FUMC to administer medical care in the event that a guardian or emergency contact cannot be reached.

I agree. I disagree.

Please select below whether or not you agree to grant permission to FUMC Stephenville to use the image of your child (listed above) in various media for the promotion of church related events. In any case, no child's name or identifying information will be used.

I grant permission. I DO NOT grant permission.

Please indicate which forms of media you will allow your child's image to be used in:

Church Website (www.fumcstephenville.org) Church Facebook Page Church Print publications None

AWOMMA 2025

Description

Please Fix the Following