Child's Full Name (required)
Child's Grade (required)
Child's Gender (required)
Child's Age (required)
Relationship to Child
Name of Emergency Contact
Emergency Phone Number
Name of Person(s) Authorized to Pick Up Child (Must be at least 18 years old)
Please list any health issues, concerns, allergies, medications, etc.
May your child have their photo taken?
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© 2016 First United Methodist Church Duncanville
403 South Main St.
Duncanville, TX 75116
Telephone: (972) 298-6121