First United Methodist Church Plano

Cowabunga Summer Art Camp

Child Information

Child 1 First Name*
Child 1 Last name*
Birthday (mm/dd/yyyy)*
Grade for 2008-2009 School Year*	1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
T-Shirt Size*
Special Needs/Allergies
Child 2 First Name
Child 2 Last Name
Birthday (mm/dd/yyyy)
	1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
T-Shirt Size
Special needs/Allergies
Parent/Guardian Name*
Home Phone Number (Area Code + Number)*
Cell Phone/Emergency Number (Area Code + Number)*
Parent's E-Mail Address*
I authorize First United Methodist Church Plano to use photographs of my child(ren) for church purposes.*	Yes No
	To prevent spam, please answer the following question. What is zero added to five?*