Born to Fly

Children’s Ministry at First UMC

Page 1 of 2

Family Information Sheet

Primary Address:
Street Address:

Home Phone:

Other:
Street Address:

Phone:

Family Member Information (yes, include pets!)

Name (first, middle, last) Birthdate At Primary Address? (choose one)

1 Yes No at College Other

2 Yes No at College Other

3 Yes No at College Other

4 Yes No at College Other

5 Yes No at College Other

6 Yes No at College Other

7 Yes No at College Other

8 Yes No at College Other

(continued, next page)

 Born to Fly
Children’s Ministry at First UMC
Page 2 of 2
For family members listed above:
Church Baptized?
Email Address
member? (if yes, where & when?)
1 Yes No No Yes

2 Yes No No Yes

3 Yes No No Yes

4 Yes No No Yes

5 Yes No No Yes

6 Yes No No Yes

7 Yes No No Yes

8 Yes No No Yes

For family members listed above:

Adult, Youth,
Elemenatary or Grade School or Profession
Nursery?
1
2
3
4
5
6
7
8