Wood River First United Methodist Church
 
Parents/Guardians of youth participating in Youth Gatherings:
Please complete the 2023-2024 Youth Information /Liability Form before participating in youth ministry.
If your youth wants to invite a friend, please have their parents/guardians fill out the forms.
 
We are kicking off our Youth Ministry and we are looking forward to gathering in-person.
We want to provide a space for our youth to CONNECT with God and each other to make an IMPACT in their lives.
 
We will gather and often have meals together.
 

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Please monitor your health and if you are not feeling well or exhibiting COVID-19 symptoms, we ask that you refrain from attending youth ministry.

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    I have read the above guidelines and agree.

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    2023-2024 Youth Information /Liability Form

    Parent's Information:

    Parent's Name or Legal Guardian (required)

    Address (required)

    City (required)

    Cell Phone (required)

    Email (required)

    The best way to communicate youth events and gathering reminders:

    Person to call in case of Emergency: (required)

    Emergency Phone Number (required)

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    Child(ren)s Information:

    Name: text firstchildname] Grade Fall of 2023

    Name: Grade Fall of 2023

    Name: Grade Fall of 2023

    Name: Grade Fall of 2023

    Name: Grade Fall of 2023

    ~~~~~~~~~~~~~~~~
    Any medical conditions we should be aware of, such as allergies, etc? Please specify which child and what we should know.

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

    I hereby give permission to use my child's/children's photos for any promotional material including the church's website, Facebook page and newspaper. YesNo

    I give permission for my child/children to ride in a vehicle to youth events with an adult with valid driver’s license. YesNo

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    MEDICAL TREATMENT RELEASE AND LIABILITY RELEASE

    I, the undersigned parent or guardian do hereby grant permission for (child's/children's name) to participate in the Youth Group Activities at the First United Methodist Church (FUMC) in Wood River. I hereby authorize the staff, leaders, and volunteers to obtain and consent to medical treatment for my child in case of injury or illness. I further hereby release and discharge the staff, leaders, and volunteers of the FUMC from any and all debts, judgments, or suits of any kind which may arise or be occasioned as a result of my child’s participation in the Youth Group Program.

    I further acknowledge and understand that by participating in this program, there is a possibility of physical illness or injury and my child is assuming the risk of such illness and injury by his/her participation. It is my understanding that payment of any medical bills will be paid by me or my insurance company.

    By entering my name below I agree to the statement above and understand that it is the same as signing a document:

    Name:
    Date: