HS DISCOVERY - WAKE 2025 STUDENT REGISTRATION

WAKE 2025: HIGH SCHOOL DISCOVERY STUDENT REGISTRATION

*Must be completed by parent/guardian.*
Do you have an Element Forever Profile? This one-time profile, created anytime after August 2024, lasts until you graduate!*

YesNoNot Sure
Not a problem! Please visit www.elementstudentministry.com/profile to complete that first, then head back here to register for Discovery. Thanks!
Not a problem! Please email Betsy McLean, bmclean@trinitybirmingham.com, and she can check for you!

PARENT INFO
Parent/Guardian (1) Name*

First NameLast Name
Parent/Guardian (1) Cell Phone*
Parent/Guardian (1) Email*

Confirmation EmailPlease retype to double check accuracy.
Parent/Guardian (2) Name

First NameLast Name
Parent/Guardian (2) Cell Phone
Parent/Guardian (2) Email

Confirmation EmailPlease retype to double check accuracy.

MEDICAL INFO
Emergency Contact Other Than Parent/Guardian(s) (In the event parent/guardian(s) cannot be reached)*

First NameLast Name
Relation to Student
Uncle, friend, neighbor, etc.
Emergency Contact Primary Phone*
Emergency Contact Secondary Phone
MEDICATION: Will student need to take medication, prescription or over-the-counter, while at Discovery Weekend?*

YesNo
No problem! Please make sure to stop at the Medication table at check-in to turn in all medications and complete the intake form. Students are NOT allowed to keep any medications with them - all must be turned in to our medical team.
ALLERGIES: Does student have any medication and/or food allergies?*

YesNo
Please list any medication and/or food allergies and any action required if non-emergency.*
DIETARY: Does student have any dietary restrictions?*

YesNo
Please list dietary restrictions. The camp has limited ability to accommodate dietary needs in their meal preparation, however there is food storage and freezer/refrigerator space available for student to bring meals and snacks. Please contact Betsy, bmclean@trinitybirmingham.com, to discuss further, if needed.*
Anything else we need to know?
PERMISSION & MEDICAL RELEASE DETAILS
I (We) give permission for our student to attend and participate in the youth activities of Trinity United Methodist Church. I (We) recognize that membership and participation in the youth program is voluntary, and while every reasonable precaution will be taken for the safety and well-being of the participants, there are certain risks inherent in trips away from home and at church youth activities.*
Parent/Guardian Signature - Please type your full name as an electronic signature.
In the event of an emergency illness or injury to the youth member, the adult staff and volunteer leaders of Trinity will make every reasonable effort to contact me (us) for permission to obtain emergency medical and/or dental care. However, if the circumstances do not permit, I (we) authorize and consent to such emergency medical and/or dental care as may be necessary for the prompt treatment of the illness or injury. I (We) further agree to be financially responsible for the cost of emergency treatment and agree to reimburse Trinity and/or the adult leaders for any expense incurred as a result of such treatment.*
Parent/Guardian Signature - Please type your full name as an electronic signature.
Date*

MonthDayYear
Today's Date

WAKE 2025: HIGH SCHOOL DISCOVERY STUDENT REGISTRATION

STUDENT INFO

PARENT INFO

PERMISSION & MEDICAL RELEASE DETAILS

PAYMENT INFO