Faith United Methodist Church Registration for Kids Connect 2016-2017
Date of Birth:
Name of parent/guardian/grandparent
Allergies / Special health concerns / dietary needs:
PARENT/GUARDIAN: My child may participate in Kids Connect. I give permission for my child to receive emergency medical care if necessary. I give the adult volunteers or church staff the authority to act on my behalf with respect to my child’s health and safety while in Kids Connect, with the understanding that I will be contacted as soon as possible should the need arise. I accept full responsibility for any expenses for medical treatment for my child. I release Faith United Methodist Church and its representatives from liability in the event of accidental injury or illness. Furthermore, my youth has permission to participate fully in Kids Connect activities.
I give permission to have photographs of my child placed in Faith UMC brochures or posted on Faith UMC’s website or Facebook page. (Names of children will not be posted).
Should be Empty: