Tuckston UMC

After School Program

To register for Tuckston's After School Program, please complete the information below, read and sign our covenant, and submit online.

Name of Student *
Name of Student
Date of Birth *
Date of Birth
Name of Parent/Guardian *
Name of Parent/Guardian
Address *
Phone *
Phone Number *
Phone Number
At the end of the day, my student: *
By signing and submitting this form, I give my student permission to participate in Tuckston's After School Program. I understand that the goal of this program is to help students love God and love others by investing in their faith, character, and education. I, and my student, understand that, to meet this goal, students are asked to respect each other and leaders with their words and actions. This includes listening to leaders and others, using kind language, and keeping hands to oneself. I understand that the program ends at 6:00pm on Monday, Tuesday, and Thursday and at 6:30pm on Wednesday. I understand that transportation is not provided and have either given permission for my child to walk home or for them to be picked up at the end of the program. I give Tuckston UMC permission to take photos or videos of my child in order to promote Tuckston's After School Program on social media. I understand that during Tuckston's After School Program students will have the opportunity to play games and that Tuckston UMC is not liable for any injuries that might occur during these games. Parent/Guardian Signature: