In the event I cannot be reached for an emergency I give permission to the physician selected by the Director of Children's Ministry or the Director of Student Ministries to do as they see fit - INITIAL TO ACCEPT *
Insurance Company and Policy Number *
By signing this registration form you agree that any photographs taken during this event are the property of Covenant UMC and may be used in future publications as deemed appropriate. *
A copy of your responses will be emailed to the address you provided.