Child's information:  (please complete one for each child)
Child's full name:
Child's age:
Child's date of birth:
Child's current grade:
Baptized?:	Yes No Interested in baptism
Child's Address:
Child's email address:
Child's telephone number:
Registration information:  (check which ones your child will participate in)
Registration:	Sunday School (Sunday 10 am) Mid-Week With Jesus (Wednesday (5-6:30 pm) Youth Group (Sunday, 4:30-6:00 pm)
Comments and any questions:
Parent's information:
Name of Parent(s):
Parent's email address:
Parent's phone number (if different from child's):
Parent's address (if different from child's):

You can reach Judy Seymour, Christian Ed Director, at judyaumc@verizon.net, or at 410/629-0891 or 410-289-7430.