YOUTH INFORMATION SHEET
We would appreciate it if you would please fill out this information page
for each youth and return it to the church. By doing this it will better
inform us of important contact and interest information.
Please leave for Rev. Binita Miles in the office or email him at
bmiles@fumccovington.org

 

THANK YOU!!!

 

NAME:
GRADE:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
DATE OF BIRTH:
SCHOOL:
PARENT OR GUARDIAN NAME:
PARENT OR GUARDIAN PHONE:
CELL #:
YOUTH E MAIL ADDRESS:


INTERESTS:
Do you play and sports? If so what?                                                                               

Are you in any clubs?  If so what?

Do you play any instruments? If so what?

Do you like to sing?  Yes  No
What are your hobbies?


Are you: Covington First UMC: (please check one)
Member:   Visitor:

If a visitor, are you a member of another church and if so, what church?