Walkersville United Methodist Church
Monday, April 22, 2019

Registration Forms

WUMC Weekday School 2019-2020 Registration Form 
22 Main Street, Walkersville, MD 21793
Phone: 301-845-4282 Email: weekdayschool@walkersvilleumc.org
*Please fill out 1 form per child. Information about the school and detailed descriptions of classes are also listed on our website. 
  Please call during school hours if you have any questions or would like to schedule a tour.
Child’s Name___________________________________  Birth Date____/____/____          M or F
Nickname or preferred name to be used in class _____________________________________
Email Address__________________________________ Home/Primary Phone_________________
Home Address_____________________________________ 
Parent/Guardian   ___________________Relationship to child________________ Cell_______________
Parent/Guardian   ___________________Relationship to child________________ Cell_______________
Are you a member of Walkersville United Methodist Church?                      Yes or No
Are you a family with a prior Weekday graduate?                                          Yes or No
Do you currently have a student enrolled at WUMC Weekday School?       Yes or No
If you are new to Weekday School how did you learn about our program?___________________________
Does your child have any known allergies or special medical conditions?
Does your child have a disability or special needs?  If so, please specify and include a copy of their IEP (if applicable).
While we will make every effort to place your child in the desired class, we operate on a first come first serve basis.  Wait listing will be available for the classes in high demand.  To reserve your spot, please complete this registration form and return it to WUMC Weekday School along with a $50.00 non-refundable registration fee (per family). The first month’s tuition payment and supply/activity fee are due at the first class meeting ($50/2-day classes, $75/3-day classes, $100/5 day classes). Please make checks payable to WUMC Weekday School.  Indicate your first (1) and second (2) choice below:
Young 3’s            9:00 – 11:30 am Tues. & Thurs.                $140/mo______
Threes                 9:00 – 11:30 am Tues. & Thurs.                $140/mo______
Older 3’s AM      9:00 – 12:00 pm M,W,F                             $210/mo______
Older 3’s PM      12:15 – 3:15 pm M,W,F                                $195/mo______
Fours AM            9:00 – 12:00 pm M,W,F                             $210/mo______
Fours P               12:15 – 3:15 pm M,W,F                                $195/mo______
Pre-K AM            9:00 – 12:00 pm M - F                                $275/mo______
Pre-K  PM           12:15 – 3:15 pm M - F                                  $260/mo______
Trans-K              9:00 – 2:00 pm M - F                                  $350/mo______

In the Event of an Emergency, Please Contact:
Pastor Mike Henning

@ 240-313-8861