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First UMC - Child Participation Form - Sunday School & Church Activities 2026/2027
This information is needed for participation in Sunday School and Church/Children's Ministry Activities.
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Child's full name *
Birthday *
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Name child likes to be called *
Parents or Guardians names *
Address *
Email address through which you wish to receive information about our Children's Ministry programs. *
Parents or Guardians Phone numbers *
Other emergency phone # if parent unavailable *
Name of school attending and grade for 2026/2027 school year *
Grade in which you'd like child placed for Sunday School *
Allergies or other special needs of which we should be aware *
Is your family new (attending less than one year) at First UMC?
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Has your child been baptized?
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If baptized, where and date
Would you consider volunteering in our Children's Ministry Program?
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PERMISSIONS:

We give permission for FUMC Children’s Ministry staff and volunteers to supervise my child. 

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I authorize the staff and volunteers of FUMC to transport my child as needed within the terms of the Safe Sanctuary policy.
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I authorize FUMC to take and use pictures of my child on social media, church website and/or publications.
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We (I) give my permission for my child to participate in Children's Ministry events sponsored by FUMC.  We (I) authorize an adult in whose care the above named minor has been entrusted by us or a staff member of FUMC to consent to any reasonable necessary medical examination, anesthetic, medical, surgical, or dental diagnosis or treatment, and/or hospital care to be rendered to the above named minor under the general or special supervision and on the advice of any physician or dentist licensed under the provision of Virginia Law and an active member of the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of any such physician or any such hospital clinic, or urgent care facility.  We (I) the undersigned shall be liable and agree to pay all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned child pursuant to this authorization.  We (I) understand that should it be necessary for our (my) child to return to my care due to medical reasons or otherwise, that I shall assume all transportation costs.  

If you agree sign your name in the box below.
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We (I) on behalf of the participant minor child do hereby release, waive, discharge, and covenant not to sue and agree to hold members of FUMC its officers, directors, employees, representatives, agents, and affiliates and the staff of FUMC from any and all claims, demands and actions of any and every kind directly or indirectly arising out of or relating in any respect to the participation of the Child.  My waiver and release of all claims, demands, actions, and liability shall include without limitation any injury, illness, death, property damage or lost to the Minor which may be caused by an act or failure to act by the staff of FUMC or sustain before, during or after the event unless such injury, illness, death, property damage or loss is a direct result of the willful misconduct of either the church or the staff. I understand that without limitation of the foregoing , the FUMC shall not be liable and is hereby released from all claims that may arise from loss or damage to the minor child's personal property for whatever reason.  Neither the FUMC shall be responsible for any lost or stolen property of the Minor child or any persons attending activities thereof. 

If you agree sign your name below.  
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