This is the registration form for the Religious Emblem Workshop hosted by Golden First UMC. Please print, fill, sign, and mail to the following address (include your $30.00 check to "FUMC Golden"):

Golden First United Methodist Church
1500 Ford St
Golden, CO 80401
Attn: Religious Emblem

Please bring your four cans of food, to be donated to the Christian Action Guild, on the first day of the workshop. We will contact you if the workshop has filled up. Thank-you!

     Name    _______________________________________________
     Address _______________________________________________
             _______________________________________________
     Phone Number  ______________________________
     Email Address ______________________________

     Check One
     God and Me (Grades 1, 2, 3)              ___ 
     God and Family (Grades 4, 5)             ___
     God and Church (Grades 6, 7, 8)          ___

     Mother  ____________________________________
     Home Phone _________________________________
     Work Phone _________________________________
     Cell Phone _________________________________

     Father _____________________________________
     Home Phone _________________________________
     Work Phone _________________________________
     Cell Phone _________________________________

     Other Emergency Contact
     Name __________________________________________________ 
     Phone ______________________________________

     Allergies _____________________________________________________________
     Other Medical Information _____________________________________________

     I grant my permission for ________________________ to receive emergency 
     medical treatment.

     Signature ________________________________________ Date _______________

We need parent volunteer help! Please check all that you would be willing to help with. We will contact you about specific opportunities and times.

     January 21         Volunteer Opportunities
     ___All day         ___Food prep           ___Assist workshops
     ___Morning         ___Food clean up       ___Assist crafts
     ___Afternoon       ___Lead workshop       ___Assist songs
                        ___Lead crafts         ___Assist missions
     February 20        ___Lead songs          ___Play board games
     ___All day         ___Lead missions       ___Help with registration
     ___Morning         ___Small group guide
     ___Afternoon