2018 Canvas JUNE Registration - Child
UCUMC | June 18-22 | 9am-2pm

COST: $70 per child.

STEP 1: Please complete one registration form per child.

*The curriculum and activities for each Canvas week will be the same. You are welcome to sign up for one week or both weeks.

CHILD INFO


FRIEND REQUEST

FRIEND REQUEST: One friend request of the can be indicated below. Both friends must request each other on their form. Please understand that we cannot guarantee same-class placement. We will make every effort to place your child with the friend request submitted on their form, but there is no guarantee. Friend requests can not be made on the day of camp, due to the number of children attending Canvas. For more information, please contact Bev Greek at bevgreek@ucumc.net.

* Because groups are based on instructional grade level, if the friend request is not of the same age/grade, please understand the higher grade level child will be placed in the lower instructional grade level with their friend. (example - 3rd grader and 1st grader will be placed in the 1st grade instructional grade level group.)

**Both friends must request each other on their form.**


PARENT/GUARDIAN INFO
**used for communication and confirmation emails - check for typos**


ADDRESS


CHILD MEDICAL INFO


EMERGENCY INFO


*PHOTO/VIDEO RELEASE

For privacy and safety, we will not publish names with photographs/videos.
I authorize the use/release of photographs and/or videos that include the INDIVIDUALS NAMED ABOVE for UCUMC use, in print and electronic materials (worship videos, e-mail blasts, church website, Facebook, etc.).



*RELEASE

Submitting this on-line form will be the equivalent of signing a paper registration form.

  • I have read and understand the above information. The information I have given UCUMC is accurate and true to the best of my knowledge.
  • My electronic signature signifies my understanding that submitting this online form will be the equivalent of signing a paper registration form.

 

Due upon registration.


When this form is processed, you will receive a confirmation email with payment instructions. Thank you!