WOW Registration

Join this Community Ecumenical Bible Adventure meeting each Wednesday there is school starting September 14, 2022, at 3:15-4:30 p.m. at the Dysart United Methodist Church (602 Tilford Street).

* Indicates required field

1st Child's Name *

First

Last

Grade in school *

Birthday including year *

Allergies *

2nd Child's Name *

First

Last

Grade in school *

Birthday including year *

Allergies *

3rd Child's Name *

First

Last

Grade in school *

Birthday including year *

Allergies or Medical Conditions *

Children arrival (mark those that apply) *

Can walk/bike from school Parent will drop off Will need a ride from WOW volunteer

Children departure from church *

Can walk/bike from church Parent will pick up (come into the church) Will need a ride from WOW volunteer A predetermined adult will pick up (fill out name and phone below)

Can pictures or videos be taken of your children and posted on social media sites?

Choose One *

Yes No

Phone Number of adult to pick up child(ren) *

Adult other than parent with permission to pick up child(ren) *

Mother's Names *

Father's Name *

Parents' Cell Phone numbers *

Parents' Emails *

Parent Street Address *

Parent Mailing Address *

Comment *

Submit