Scribd Logo
Upload

Welcome to Scribd!

  • 16 views

    43 - PG 40

    Uploaded by

    api-235687879
    This document is a children's information form for Streetsboro United Methodist Church. It collects information about a child such as their name, grade, parent/guardian's name and contact information. It lists the church activities the child has permission to participate in, such as Sunday school, children's choir. It also requests emergency contact information, medical details like allergies and insurance, and gives permission to seek medical care if needed and releases the church of liability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    43 - PG 40

    Uploaded by

    api-235687879
    16 views1 page
    This document is a children's information form for Streetsboro United Methodist Church. It collects information about a child such as their name, grade, parent/guardian's name and contact information. It lists the church activities the child has permission to participate in, such as Sunday school, children's choir. It also requests emergency contact information, medical details like allergies and insurance, and gives permission to seek medical care if needed and releases the church of liability.

    Original Title

    43 - pg 40

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document is a children's information form for Streetsboro United Methodist Church. It collects information about a child such as their name, grade, parent/guardian's name and contact information. It lists the church activities the child has permission to participate in, such as Sunday school, children's choir. It also requests emergency contact information, medical details like allergies and insurance, and gives permission to seek medical care if needed and releases the church of liability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views1 page

    43 - PG 40

    Uploaded by

    api-235687879
    This document is a children's information form for Streetsboro United Methodist Church. It collects information about a child such as their name, grade, parent/guardian's name and contact information. It lists the church activities the child has permission to participate in, such as Sunday school, children's choir. It also requests emergency contact information, medical details like allergies and insurance, and gives permission to seek medical care if needed and releases the church of liability.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Page40

    Appendix 8
    STREETSBORO UMC CHILDREN'S INFORMATION FORM
    (Birth through Age 18)

    Effective Dates: _________________ to _________________

    Name of Child _____________________________________________ Grade

    Parent/Guardian's Name(s)

    Address:

    Email:

    Phone/Cell: _______________________ Birthdate: __________________ Age:________________

    Additional contact person & phone #

    _____________________________________________ has my permission to participate in the following


    activities sponsored by Streetsboro United Methodist Church (hereinafter referred to as the
    "Church").
    ___ Sunday School ___ Children's Choir ___ Nursery ___ Childcare during church functions
    4-5-6ers UMYF Other: ____

    Where will you be during activity (worship, Sunday school class, small group, etc.) and what is the
    best way to contact you (cell phone, text, etc.)?

    Who has permission to pick up your child?

    Child's allergies:_

    Child's special needs:_

    Medical insurance company_____________________________________ Policy #_

    Choice of hospital:

    This consent form gives permission to seek whatever medical attention is deemed necessary, and
    releases the church and its staff of any liability against personal losses of named child.

    40 P a g e

    You might also like