2026-2027 Children and Youth Ministry Registration Form - Coral Gables Congregational United Church of Christ

Please fill out a registration form for each child/youth in your family.

Child/Youth Information

Child's/Youth's Name*

First Last

Birth Date*

Age*

As of September 1, 2026

Gender*

Church Member of*

Gables UCC
No Church

Baptized*

Yes
No

If yes, when and at which church?*

Grade*

During the 2026-2027 school year.

Youth's Cell Phone (if applicable; please do not list parent number)

Youth's Email (if applicable; please do not list parent email)

School*

During the 2026-2027 school year.

I would like my child to participate in Children's Choir for Kindergarten-5th Grade on Sunday mornings from 11:45 a.m.-12:30 p.m.*

Yes
No

I would like my middle/high school youth to participate in Youth Bell Choir on Sunday mornings from 10:00 a.m.-10:45 a.m.*

Yes
No

I would like my middle/high school youth to participate in Youth Choir on select Sunday afternoons from 12:30 p.m.-1:15 p.m.*

Yes
No

Special Interests and Activities*

Allergies/Dietary Restrictions

Please list.

Siblings Attending Sunday School*

Yes
No

Names and Ages

Parent/Guardian Contact Information

Parent's/Guardian's Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Cell Phone*

I agree to receive text message reminders about youth programming at the number above.*

Yes
No

Email*

Second Parent's/Guardian's Name (if applicable)

First Last

Address

Street Address Address Line 2 City State ZIP Code

Cell Phone

I agree to receive text message reminders about youth programming at the number above.

Yes
No

Email

Additional information that would assist us in ministering to your child/youth:*

Does your child/youth have any disability or medical concern of which we should be aware in order to best serve your child/youth? ALL INFO REMAINS CONFIDENTIAL.*

If not, please type "No."

Emergency Contact Information (other than parent(s))

Name*

First Last

Relationship to child*

Cell Phone*

Name of Health Insurance Company*

Policy Number*

Medical Consent
By signing below, I authorize medical treatment for my child in case of accident or illness if the parent/guardian cannot be located and an emergency situation arises.

Media Release
By signing below, I give permission to use my child's name, photograph, and/or performance recordings (including audio and/or video forms) in brochure, web, and other promotional materials.

Health Agreement
By signing below, I agree to ensure my child is well before attending Children & Youth ministry events. If my child is not feeling well, they will remain home. I acknowledge that communication with Pastor Megan will be private and our confidentiality will be protected.

Volunteer Interests

I would like to volunteer for Sunday School (choose which area you would like to help).

Sunday School Teacher
Christmas Program Volunteer
Staff Nursery Once a Month
Chaperone for Child/Youth Events and Sleepovers

Signature

Parent's/Guardian's Digital Signature*

Date*