Mid-High Week 2024

Mid-High Week 2024 Registration

Completed 6th - 8th Grade
About Mid-High Week
Join us for a week of water games, field trips, fellowship, and faith formation.

When
June 3, 4, 6, & 7 | 9:00am - Noon
June 5 | 9:00am - 3:00pm
A follow-up email will be sent regarding field trips and activities

Cost
A fee of $60 per student is asked to help cover the cost of curriculum, supplies, and field trips. Fee waivers are available upon request when needed. Please contact Geoff Cook to learn more (GCook@FUMCPensacola.com).

Cost does not include online fees (3% + .49 per transaction)
Please fill out one registration form per child.

Participant Information (Required)
Name*

First NameLast Name
Gender*

MaleFemale
Birth Date*

MonthDayYear
Date
Last Grade Completed*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Allergies
Epi Pen for Allergies?

Yes

Additional Information
Siblings Also Attending VBS (names & ages)
Members of First Church

YesNo
If you attend another church, please list

Parent/Guardian Contact Information (Required)
Name*

First NameLast Name
Relation*
I would like to receive more information about volunteering for Mid-High Week

YesNo
Phone Number*
Please enter a valid phone number.
Email*
example@example.com

Parent/Guardian Contact Information #2
Name

First NameLast Name
Relation
I would like to receive more information about volunteering for Mid-High Week

YesNo
Phone Number
Please enter a valid phone number.
Email
example@example.com

Other Adults Dropping-Off or Picking-Up Child
All children must be picked up or dropped off by an adult. Please do not send sibling to pick up your child unless they are 18+ years old. Sign out sheets will be availabe at pick-up.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.

Medical Release Form (Required)
Medical Release Form

Students must have a renewed Medical Release form on file for the upcoming school year (2024 - 2025) at the church to participate.
Does your student have one on file for the 2024/2025 school year?*

YesNoUnsure
If your answer was No or Unsure, please fill out and submit before continuing. Please also change your above answer to YES before submitting Mid-High Week form.

Safe Sanctuaries, Consent, & Permission (Required)
Safe Sanctuaries
Because we are committed to keeping every child safe, First United Methodist Church adheres to the Safe Sanctuary policies recommended by our conference at the United Methodist Church. This means we require background checks on all of our teachers, enforce the student-teacher ratio, as well as, require a registration form on every child and enforce drop off and pick up policies. We hope you understand that our staff and volunteers working with your children want to make our church a safe place for children and therefore, request that you support our efforts to do so.

Photo/Video Consent
Your child may be photographed/videoed during church events, with the possibility of the images being used for promotional purposes on Facebook, Instagram, the Church website, or printed materials. If there is a concern with the use of the images including your child, please contact Denise Van Atta at DVanAtta@FUMCPensacola.com.

Permission Form
My Child, listed on the form above, has permission to participate in Water Week and go on the various scheduled filed trips.
Parent Guardian Signature*

Clear

Registration Fee*
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Mid-High Week Registration
$60.00

Subtotal

$0.00

Shipping

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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