Wash Park Youth Registration 2022-2023

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Hello!

This is Loren Richmond Jr., the new associate pastor and youth director at Wash Park UMC. I'm looking forward to connecting more with the parents and youth in the church. If you would help me get to know you all better by completing this form.

Please fill out every section to the best of your ability. If you have any questions, feel free to email me at youthgroup@washparkumc.org.

NEW & RETURNING FAMILY INFORMATION:

You're all new to me!

Please fill out the information below as usual. If you have any questions about the upcoming year, please email.

WPUMC God Squad is for children from 7th-12th grade. Though I am new to this, I aim to incorporate many of the past practices and activities, such as monthly gatherings, activities, and service projects, seeking to help youth grow spiritually by placing high value on developing a healthy, ethical, and practical faith.

Plan on hearing from me in the coming weeks as I would love to better connect with you and your youth!

If you have multiple children in the program, feel free to use this form for both, but be sure to note medical information as precisely as possible.

This form is confidential. All information will be held in confidence by WPUMC staff.

Note: Communication about youth group events will often be done by email. Please list emails that you check on a regular basis.

Email *

Child Name *

Parent(s) or Guardian(s) Names *

Parent/Guardian Phone Number *

Home Address *

Emergency Contact Name & Phone Number *

In Emergency, Notify: *

Does your child have an email we can use to contact them?

We have a God Squad Text Group that they can be involved in. Does your child have a cell phone number we can use to send them text updates?

Child Date of Birth *

YYYY

Current Grade *

Does your child have any health history we should be aware of? *

Allergies/Sensitivities?

Any other concerns you would like Youth Group Staff to be aware of? (Anything you'd tell a babysitter about your child, quirks, habits, things we may need to know to help them do their best!)

Are they involved in any after school activities, such as sports, music, languages, clubs, etc.

Photo Release: *

Yes, you can use pictures and videos of my child. I hereby grant Washington Park United Methodist Church of Denver, CO the permission to use my child’s likeness in photographs, video, and other media in any and all of its publications, including bulletin boards and website entries. I waive any right to royalties or other compensation arising or related to the use of the photographs or videos.

No—please do not print or publish photos of videos of my child online or in church-related publications.

Other:

Liability: “I/We hereby grant permission for my/our child(ren) presented in the form above to be a member of the Youth Group at Washington Park United Methodist of Denver, CO and to participate in activities arranged by the Associate Pastor, Senior Pastor, and/or Youth Leadership in this regard from time to time. We recognize the importance of the commitment that he/she makes and that their participation as a part of a larger community calls for responsible behavior. Therefore, I/we agree that if this child engages in behavior which, in the judgment of the adult leaders, is not in the best interest of the trip or event, our/my child or any member of the group may, therefore, be sent home. I/We will assume full legal and financial responsibilities for such a return trip. I/We hereby release from any liability Washington Park United Methodist Church of Denver, CO and all of its personnel, employees, adult leaders and representatives from any claims for unintended or unexpected accidents which might occur during participation in youth group events or traveling to or from said events. In granting this permission and release, I/We specifically recognize that my child may from time to time be transported to events by private vehicles operated by advisors or volunteers not as agents, employees or representatives. In such regard, I/We specifically release and will hold harmless Washington Park United Methodist of Denver, CO, their officers, employees, agents and representatives from any and all liability which may arise as a result of such transportation whether or not organized by Washington Park United Methodist Church of Denver CO.” *

Yes

By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *

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