Harrison Bay July 17, 2018 Student Name Grade in Fall 2017 Select One (required) 1 2 3 4 5 6 Parent Phone Second Emergency Contact Parent Email I give permission for Signal Crest UMC to photograph my child. Photographs may be used on the website, social media, or printed materials Select One (required) Yes No Allergies To prove you are a human, please tell us which is larger? Please answer question. Whale Ant Flea Please wait. Your request is processing.