South Charleston United Methodist Church
15 E Jamestown St, South Charleston, OH 45368 ~ www.southcharlestonumc.org ~ (937) 462-8043
Don’t Get Your Tinsel in a Tangle
Parent’s Day Out ~ 1st Saturday in Dec ~ 11A-3P ~ Ages 4-11
The South Charleston UMC is planning a fun-filled day for your children so you can do your shopping and run those errands stress-free!
We’ll entertain them with movies, crafts, games, and a reading of The Christmas Story! Lunch will also be provided!
Register ASAP by completing the info below
Name_______________________________________________________Birthdate____________________ Address_________________________________________________________________________________ Address_________________________________________________________________________________ Phone(H)___________________________(C)_______________________Grade______________________ Parent/Guardian Contact___________________________________________________________________ Phone(H)_________________________________________(C)_____________________________________
Email___________________________________________________________________________________
List anyone authorized to pick up your child from the event (other than parents named above)
Name__________________________________________Phone____________________________________ Name__________________________________________Phone____________________________________
Allergies/Medical Conditions________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________
Is there anything you would like us to know about your child_____________________________________
________________________________________________________________________________________
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If I’m not available and a medical emergency arises, the supervising teacher has my permission to have my child transported to (name of hospital)____________________________________________________
I give the South Charleston United Methodist Church permission to take my child’s picture for classroom projects and/or church website and Facebook. ❑ Yes ❑ No
Parent’s Signature__________________________________________________Date__________________