CONTACT US

Please use the form below to send your inquiry.

Director of Children's Ministries
Susan Holbrook
sholbrook@uccmedfield.org

Phone 1·508·359·2351

Fax 1·508·359·2352

Childrens Ministry Registration 2011/12

As outlined in our Christian Education Handbook, parents are scheduled on a rotating basis as a volunteer in their Child's classroom. Please check the monthly Beacon for the current month’s schedule. E-mail reminders will be sent out the week before your scheduled date. IF YOU WOULD LIKE TO COMMIT TO A MORE FREQUENT/REGULAR SCHEDULE OF VOLUNTEERING IN A PARTICULAR CLASS, PLEASE INDICATE THAT ON THE LINE BELOW (i.e. 1st Sunday of every month in 1st grade class):

I can volunteer :

Family Information

Will attend (please select)
9:30 a.m. 11:00 a.m.
Parent's Name:
E-Mail Address:
Address:
Phone Number:

Child's Information

Child's Name:
Birth date:
Grade/Age:
Allergies:
Child's Name:
Birth date:
Grade/Age:
Allergies:
Child's Name:
Birth date:
Grade/Age:
Allergies:
Child's Name:
Birth date:
Grade/Age:
Allergies:

Additional Information

Allergies Information:

PLEASE FILL OUT FIELD IF THERE IS ANYONE WHO IS NOT AUTHORIZED TO PICK UP YOUR CHILD.

Person NOT authorized to pick up my child(ren) under any circumstances:

Photo Release : Given the children in our Sunday School program present so many classic picture-taking opportunities, we may want a picture of your son/daughter in a local newspaper article or on our web site to highlight our ministry activities.


Please let us know if you DO NOT want your son or daughter’s picture used by The United Church of Christ in Medfield. Please select:
no I do not want my son or daughter's picture used by the UCC Medfield
Please add any additional comments below: