Refuge Registration
Event Timing: Wednesdays after School 3:30-5:30pm
Event Address: First United Methodist Church 1016 Sam Houston Ave. (3rd floor of Community Life Center)
Contact us at: Kelsey@huntsvillefumc.org
Name of Student: *
Your answer
Date of Birth: *
Your answer
Phone Number: *
Your answer
Address: *
Your answer
Grade: *
Your answer
School: *
Your answer
Parent(s) Name(s) and Phone Number(s): *
Your answer
Medical History: Any known allergies? If so, what? *
Your answer
In case of emergency, please notify: (Name and Phone Number) *
Your answer
My Child will need to be picked up from school *
Required
2019-2020 Student Ministry Parental Consent Form: In case of accident or illness, I hereby give permission that any necessary medical treatment be given to my child by medical personnel while in route to or attending any youth event with First United Methodist Church of Huntsville, Tx. I understand that payment for medical care will be my responsibility and not that of First United Methodist Church or any other organization. *
Required
Transportation Consent: I authorize my child to participate in events and trips sponsored by the First United Methodist Church of Huntsville, Tx. for 2019. It is understood that the designated volunteers and staff will provide reasonable supervision and transportation to ensure the health and welfare of all those in attendance. *
Required
Photo Consent: I realize that pictures and/or videos of student activities may be used in church communications for the purpose of sharing and promoting the Student Ministry of FUMC, as we continue to reach out to students in our community. I do consent to my student being videoed or photographed. *
Required
Student Covenant: I promise to be caring and respectful of others as well as their property. I understand that I am responsible to pay for any damage done to church property. I will follow all rules and expectations. I will not bring/use alcohol, profanity, tobacco, illegal drugs, weapons to/at any youth event. I will also not leave an event without an adult’s accompaniment or approval. *
Required
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