PDO Two Registration Form - Wesley United Methodist Church

Name of Child (First & Last)*

Child's Date of Birth*

Child's Gender*

Parent/Guardian Name (First & Last)*

Parent/Guardian Address (City & Zip)*

Parent Contact Number (Including area code)*

Email*

Child's Emergency Contact (Full name, phone number, and relationship)*

List of Diagnosed Allergies*

I understand the registration fee of $50 is due at time of registration and is non-refundable.*

I understand my child must be 2 on or before September 1, 2025 to attend Terrific Two's at Wesley United Methodist Church Greenville.*

Class Days of the Week? Select Only One.

Supply Fee to be paid 2x per year (Aug & Jan). Select Only One.

TERIFFIC TWO's Registration 2025-2026 (2 by 9/01/2025)