Lindenwald United Methodist Church

... making disciples since 1903

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Sermon & Devotion 2012

Summer Shine Sign-Up Form


 

Summer Shine is a free, four-week mega sports program that includes free lunches and snacks provided by the Ohio Department of Education and is for children who are entering Kindergarten through 6th Grade. The program includes the teaching and playing of sports, crafts, stories and performing arts. If you have questions, fill in and submit the form below.

NOTE: Free transportation is limited to the first 36 children who sign up, so if you know you will need your child to ride our van, submit your registration as soon as possible.

For those riding the van, stops will be made at the following schools: Bridgeport Elementary, Brookwood Elementary, Crawford Elementary, Fairwood Elementary, Highland Elementary, Linden Elementary, Ridgeway Elementary, Riverview Elementary and Fairfield Middle School.

To sign your child (children) up for our Summer Shine Program, please fill in and submit the form below. Summer Shine is for children who are entering Kindergarten through 6th Grade.


 
Child's Name
Age
Male / Female
Last Grade Completed
Address
City
State
Zip Code
Parent/Custodian
Home Phone() -
Cell Phone() -
E-mail Address
Emergency Contact
Relationship to Child
Emergency Contact Phone() -
Does your child have allergies?
Does your child take any medication?
Comments
Transportation Needed (Yes/No)
What is the closest Elementary School to your home?
 
 
 

3501 Pleasant Avenue • Hamilton Ohio 45015 • 513.863.8822
© 2012 Lindenwald United Methodist Church