Register your child(ren) for our top-notch After School Program. The First United Methodist Church After School Program is designed to provide a safe, relaxed and fun environment for middle school  students who might otherwise be left at home unsupervised during the day.  The program is open to all students who are Barrow County residents attending 6th thru 8th grade.

 

Adult supervision with a smack provided, homework time and tutoring, video games, gym time, and a weekly Bible study.   Program hours are until 6:00 P.M. Monday – Friday, following the Barrow County school calendar for holidays.  There is a $20 registration fee due with your application.  Tuition is $30 per week for non-members, $25 for Winder First United Methodist Church  members. Applications are available outside the church office,  in the Pasley Family Life Center or you may fill out the the information below and click the "Submit" button.. 

For more information call Kelly West at (770)867-4594, ext. 15 or email at this address

Please provide the following parent/guardian information:

Full Name

Mailing Address

Address (cont.)

City

Zip/Postal Code

Home Phone

E-mail

Work Information ( so we can reach you in case of emergency)

Organization

Work Phone

FAX

E-mail

In case of an emergency, call: (if a parent cannot be reached)

Name:

Phone:

Name:

Phone:

The following people may also pick up my child from ASP (other than parents). I.D. checked

Name:

Relationship to child:

Name:

Relationship to child:

Please tell us about your child:

Name

Date of Birth

(mm/dd/yy

Sex

Male Female

Grade for 04-05  school year

Special Instructions: (Allergies, Diet, Medical, Extraordinary Circumstances) Be Specific

Which  school does your child attend:

Enter your child's insurance company name in the space provided below.

Enter your child's insurance policy number: