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Please fill out ALL of the relevant information to enroll your child/youth in all programs you are interested in.
Date form is filled out.* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
Youth Name*
Preferred Name
Birthdate* January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901
Grade* 12 11 10 9 8 7 6 5 4 3 2 1 Kindergarten Pre K Preschool
School Name
, AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Home Phone( ) -
Youth Cell, if any( ) -
Youth Email (if any)
PARENT/ GUARDIAN INFORMATION
Your divider description here.
Parent / Guardian 1 (Main contact) *
Parent/Guardian 1 Cell*( ) -
Parent/Guardian 1 Email*
Parent/Guardian 2 Name
Parent/Guardian 2 Cell( ) -
Parent/Guardian 2 Email
Preferred way to be contacted
Indicate if by email, text or both, or other means such as FB messenger.
ENROLLMENT
Please check all programs your child will be in.
Sunday School (2 years thorugh 7th Gr.) 2 years through Senior High Confirmation Class (For 7th & 8th grades)
Youth Groups First Tuesday ( Kinder - 2nd Grade, Meets 1st Tuesday) Junior Club (Grades 3-6, Meets 1st & 3rd Thursdays each month) Youth Group (Grades 7-12, meets Wed.)
Music Program - Choir Jubilee (4 yrs - 2nd Grade, meets Tues.) Junior (Grades 3-6, meets Thurs.) Westminster (Grades 7-12, meets Wed.)
Music Program - Handbells Joy Ringers (Grades 3-6) Trinity Ringers (Grades 7th to Adult, meets Wed.)
Other Programs Puppet Ministry (Grade 7 -12) Presbyterian Young Women (Age 14 & up) Drama Team (Some Sundays and VBS)
MEDICAL AND BEHAVIOR INFORMATION
It is helpful to know about any medical conditions or behavioral concerns your child may have.
Allergies
Learning Disability
Behavioral Concerns
Others
Current medications or other matters you wish to share.
If you prefer not to list medical concerns and discuss privately, feel free to contact our CE Director Nancy Leardi, nleardi@fpcweb.org or call (732) 4912264.
Health Insurance
As the parent/legal guardian, you give permission for your child to attend and participate in the activities at First Presbyterian Church of Metuchen. You certify that the information you have provided is correct. You authorize the adult leader of the church youth group to secure medical care, including hospitalization and other medical attention deemed necessary by a licensed physician for your child. You acknowledge that all costs associated with any medical treatment for illness or accidents while at a First Presbyterian event are your personal responsibility.
Health Insurance Policy No.
EMERGENCY CONTACT INFORMATION
In the event we cannot reach either parent/guardian, let us know who we may contact.
Contact Person other than parent/guardian
Relationship to child
Phone( ) -
Yes, I permit the use of my child's photos & videos.
By registering your child in the Sunday School and various Youth Programs of the church, your child may be photographed, videotaped, filmed on livestream feeds, and/or recorded as part of their participation in any of the church’s worship services and events, from the date hereof and such video recording or photograph may be included in any church publications, website, or on the social media platforms of the First Presbyterian Church of Metuchen, New Jersey.
YOUR HELP IS NEEDED
We appreciate if you would consider some of the volunteer opportunities below.
9:15 am Sunday School (co-teach)
Substitute Teacher
Bulletin Boards/ Craft Prep
30 Hour Famine Chaperone
Choir Parent
Christmas Pageant Leadership Team
Christian Education Committee
1st Tuesday Volunteer
Junior Club Volunteer
Organizing Classrooms
Presbyterian Young Women (PYW)
Trunk or Treat (Participant or Helper)
Youth Commission (Youth Day of Service, Mission Trip, Youth Fellowship)
Our volunteers are the heart of our programs. Please consider where you could support us.
