First UMC Student Registration Form

Please List below how your student is arriving / leaving from church activities, permitted individuals (or not permitted) who may pick-up or drop-off your student and any special situations for check-in / check-out we need to be aware of.

Any allergies, medical conditions, prescriptions or other notes we need to be aware of?

Name (other than parent / guardian), Relationship, and Phone #

This student has my permission to attend all church activities sponsored by First united Methodist Church. This consent form gives permission to seek whatever medical attention is deemed necessary, and releases First United Methodist Church and its staff of any liability against personal losses of this student. I/We have legal custody of the student named above, a minor, and have given our consent for him / her to attend events being organized by First United Methodist Church. I / We understand that there are inherent risks involved in any ministry or athletic event, and I/we herby release First United Methodist Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my / our student's involvement. In the event that he/ she is injured and requires medical attention, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and / or hospital personnel designated by the First United Methodist Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I / We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my /our knowledge, still be in force for the student named above. I / we also agree to bring my / our student home at my / our own expense should they become ill or if deemed necessary by the adult leaders.

From time to time pictures are taken of various activities taking place during church activities and used for church communications both inside and outside of the church. I give permission for my student to be photographed and for photos to be used in church communications.

I give permission for my student or myself to receive text communication from First United Methodist Church staff.