Registration for Youth Mission Trip 2026

Registration for Youth Mission Trip 2026

TEAMeffort trip to Altoona, PA from July 12-18, 2026
Trip Registration Confirmation

You must also complete the Kingswood Children and Youth Registration Form, if not already complete.
First Youth or Chaperone Name Attending*

First NameLast Name
First Youth or Chaperone Shirt Size*
unisex adult sizes
Second Youth or Chaperone Name Attending

First NameLast Name
Second Youth or Chaperone Shirt Size
unisex adult sizes
Third Youth or Chaperone Name Attending

First NameLast Name
Third Youth or Chaperone Shirt Size
unisex adult sizes
Fourth Youth or Chaperone Name Attending

First NameLast Name
Fourth Youth or Chaperone Shirt Size
unisex adult sizes
Appendix E Required by Safe Sanctuaries for Off-Campus/Overnight Events
Family Member Names*
Please list all of the full names (first and last) of the family members that this permission form will cover.
Legal guardian filling out this form*

First NameLast Name
Relationship*
Family Health Insurance
Company*
Policy Number*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Family Doctor Information
Name/Name of the practice*
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
In the event of an emergency or non-emergency situation in which medical treatment is required as a result of participation in the Kingswood United Methodist Church outings or activities listed below, every reasonable effort will be made to contact the persons listed as caregivers.  If unsuccessful in contacting the persons listed, consent/permission is given for treatment by competent medical personnel. 

Further, consent/permission is hereby given to the Coordinator of Youth Ministries, Director of Children’s Ministries, Pastors, and other approved adult leaders as assigned to Kingswood United Methodist Church to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery (under recommendation of qualified medical personnel).  I also agree that my insurance company will be used for such medical care, and I am aware that I may be billed by the medical provider for any medical treatment not covered by my insurance. 
Parent Signature*

Clear
Date*

MonthDayYear
Date
Thank-you for sharing this information. We've asked to collect this relevant health information to ensure proper care and safety during the event. This information will only be used for the purposes of this activity and will be stored securely.
Should be Empty:

Registration for Youth Mission Trip 2026

Trip Registration Confirmation

Appendix E Required by Safe Sanctuaries for Off-Campus/Overnight Events

Family Health Insurance

Family Doctor Information