• 2021 - 2022 YOUTH REGISTRATION FORM

    All minors wishing to participate in Montvale Evangelical Free Church (MEFC) activities and programs, including the church nursery, must have their parent or legal guardian complete and sign this form. Information contained within the form will be used to ensure the protection of children who participate in our programs or use our facilities. All information is considered confidential and will be treated appropriately.
  • YOUTH INFORMATION

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  • PARENT / LEGAL GUARDIAN INFORMATION

  • MEDICAL INFORMATION

  • MEDICAL HISTORY AND CONDITIONS

  • MEDICAL TREATMENT AUTHORIZATION

  • I do hereby agree to hold MEFC, and its agents and employees, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to my/our child or property, even injury resulting in death, which I now have, my minor child has, or which may arise in the future in connection with any medical treatment deemed necessary and authorized by MEFC’s representative in his/her exercise of the terms of this Medical Treatment Authorization.

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  • PHOTO & VIDEO CONSENT AND RELEASE

  • From time to time, MEFC may photograph and take video recordings of child / youth during church-related activities and programs.  This release grants MEFC the right to use and re-use, publish and re-publish, and modify or alter images (photographs, digital images, video or other recordings) taken during the shoot.  Use of the images for editorial, commercial, trade, advertising, and any other purpose may be done in any medium now existing or subsequently developed, on the church website and on the internet, and worldwide in perpetuity for the purposes stated above.


    I waive my right to inspect or approve any editorial text or copy that is used in connection with the images and release and discharge MEFC from any and all claims arising out of use of the images for the purposes described above, including any claims for libel, invasion of privacy, or other tortuous act.

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  • TRANSPORTATION CONSENT

  • I give permission for my child / youth to ride in any vehicle driven by an approved and licensed adult leader or chaperone while attending and participating in off-site activities sponsored by MEFC. My child / youth and I understand that seat belts must be worn at all times during transportation.

    I understand and hereby agree to assume all of the risks which may be encountered with said transportation.  I do hereby agree to hold MEFC and its and their agents and employees, including Driver, harmless from any and all liability, actions, causes of actions, claims, expenses, and damages on account of injury to me or my property which I now have or which may arise in the future in connection with my transportation for Church activities as a convenience to me.

    I expressly agree that this release, waiver, and indemnity agreement is intended to be broad and inclusive as permitted by the law of the State of New Jersey and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

    I further state that I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act.  This is a legally binding agreement that I have read and understand.

    If you do not agree, write ‘No’ in the signature line.

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  • SUPPLEMENTAL MEDICAL CONSENT

  • As part of the MEFC Youth Groups, a youth may attend an off-site activity or program such as a field trip, retreat, camping, hiking, sports events, mission’s trips and any other activity normally associated with youth ministries.  All off-site activities will require a parent / legal guardian signed permission form specific to the activity or event prior to the youth being permitted to participate.


    In addition to the information already provided, please complete the following sections:

  • COVENANT OF EXPECTATIONS

  • All youth and youth leaders / chaperones participating in MEFC activities or programs whether on-site or off-site must abide by the MEFC Covenant of Expectations.  The following rules and guidelines are equally binding on adult leaders / chaperones and youth.


    Non-Negotiable Rules


    Any participant failing to abide by these rules, in accordance with the MEFC Youth Ministries Code of Conduct, may be sent home at personal or family expense.


    ·         No use of illicit drugs or alcohol.
    ·         Presence at and full participation in all group activities, including adherence to curfews and other time-related instructions.
    ·         No sexual misconduct (defined as exposure, touching, or inappropriate reference to body areas normally covered by undergarments)
    ·         Must be in assigned rooms by designated time
    ·         Coed visitation only in assigned community room
    ·         Smoking and the use of tobacco products are not allowed to, from, or during any trip
    ·         Will not break any American laws in the United States or any other country


    Guidelines for Living in Christian Community


    ·         Adults and youth will be equally responsible for performing assigned tasks in a timely and cooperative manner
    ·         Participants will be respectful, encouraging, and will maintain a positive attitude toward others at all times, recognizing Christ’s presence in each other
    ·         Participants will be respectful of both common living spaces and the property of others
    ·         Participants will avoid the use of foul language, cursing, or any speech (including ‘humor’) which puts down, makes fun of, or stereotypes other persons or groups.
    ·         Sleeping areas for males and females will be separate

  • Youth Statement: By signing this form, I pledge to honor God and respect others during activities and programs by following the rules and guidelines stated above. I understand that I cannot participate in the activity or program unless this completed form is on file.

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  • Parent / Guardian Statement: By signing this form, I agree to support the Covenant of Expectations printed above, and will accept responsibility for the payment of my child’s return transportation should he/she break one of the non-negotiable rules.
     

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  • PARENT / LEGAL GUARDIAN CONSENT & RELEASE

  • This consent must be completed on behalf of all Children and Youth who participate in MEFC activities and programs.

    I, the undersigned, being the parent or legal guardian of the child named in this document, do hereby consent to the participation of my child in all of the regularly scheduled activities of the Children’s and Youth ministries at Montvale Evangelical Free Church.

    In consideration of MEFC allowing my child / youth named in this document to participate in children / youth ministry (Sunday School, King’s Kids, Boy’s Brigade, Events, Retreats, Mission’s Trips, etc.) and childcare, I, the undersigned, do hereby release, forever discharge and agree to hold harmless MEFC, its pastors, directors, employees, volunteers and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child / youth participant while involved in child /youth activities and/or childcare.

    I, the parent or legal guardian of this child / youth participant, grant my permission for the child / youth named in this document to participate fully in children / youth ministry activities and childcare, including trips away from church premises.

    Furthermore, I, on behalf of my minor participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.

    The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of the child or youth participant, including expenses incurred attendant thereto.

    I expressly agree that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the States of New Jersey and New York and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. This release contains the entire agreement between the parties hereto and the terms of this release are contractual and not a mere recital.

    I further agree that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding agreement that I have read and understand.

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