Children & Youth Registration

Child's Information

Child's Name

Preferred Name/ Nickname

Date of birth

Child's Primary Address

Allergies

Medical conditions we should be aware of

Any additional information we should know about your child

Family Information

Parent/Guardian Name

Phone

This address will receive a confirmation email

Parent/Guardian Name #2

Phone

Names of additional adults (18+) who have your permission to pick your child up

Sunday School Class

Photo/Video Release & Permission of a Minor

I hereby consent that any photographs and videos taken of my child may be used by Maumee UMC and its assigns and successor for any internal publications including but not limited to, brochures, newsletters, and posters. I also here by consent that any photographs or videos taken of my child may be used by Maumee UMC for external publications, including, but not limited to television production, social media, and the church website. Furthermore, I consent that such photographs shall be property of Maumee UMC, which has the right to duplicate, and make use as deemed necessary, in accordance with this policy, free and clear of any claim whatsoever on my part. - I understand that photographs and videos appearing on the church website and/or social media will not include names of children. - I release them from any expectation of confidentiality for the undersigned minor child and attest that I am the parent or legal guardian of the child listed above.

I DO give Maumee UMC my consent to use my child's photo or video. I DO NOT give Maumee UMC permission to use photographs or videos of my child in any capacity.

Children & Youth Registration

Description

Please Fix the Following