2024-2025 Youth & Family Ministries Permission & Release Form
 
This Parental Consent, Photo Release, Emergency Contact and Health Form gives permission for my child to participate in any youth activities sponsored by the First United Methodist Church of Schuylkill Haven, a local church within the Eastern Pennsylvania Conference of The United Methodist Church and shall be valid from May 1, 2024, through June 30, 2025.   

GENERAL PERMISSIONS​

• I give permission for the youth named below to participate in 
  First United Methodist Church of Schuylkill Haven’s iGnite Youth Ministry activities and events both on-site and off-campus from May 1, 2024, through June 30, 2025.

• Although minimal, I am aware that some activities or events may involve physical activity where my youth may be at risk for physical injury (running outside, ball tag, capture the flag etc.). In such, I agree to hold First United Methodist Church, Schuylkill Haven, its staff, and volunteers harmless should any such injury occur.

• I give my permission for my youth to be transported in vehicles operated by the adults in whose care the minor has been entrusted while attending and participating in these events. 

• I will ensure that my youth will not bring any electronic games or devices except for a cellular phone to Youth Group activities. Boundaries and guidelines of usage will be expected of students and must be supported by parents. 

• ​I understand that the First United Methodist Church, Schuylkill Haven, its staff, and volunteers, are committed to safe, fun, and educational activities, and that all activities are conducted in a smoke, alcohol, and drug-free environment. To help ensure the safety of all concerned, I understand that if my youth is in possession of illegal drugs, alcohol, or tobacco products, engages in any illegal conduct or refuses to follow the directions of the Youth staff or volunteers participating in the scheduled activities that I will be telephoned immediately to pick up my youth.

MEDICAL TREATMENT & LIABILITY RELEASE

In the event of a medical emergency, I declare that I am the child or youth’s parent or legal guardian and hereby authorize the First United Methodist Church youth ministry staff or volunteers, as agents for me, to consent to medical attentions as advised and supervised by professional nurses, doctors or dentists should I be absent or unavailable to make such decisions. This authorization extends to any emergency room admission and treatment as an inpatient, considered necessary by the attending physician. I understand that, in such an emergency, I will be contacted as soon as possible. I, hereby hold the First United Methodist Church staff, volunteers, event staff and their representatives harmless in the exercise of this authority. 

It is my understanding that the below named student will be covered by my personal medical insurance. First United Methodist Church of Schuylkill Haven provides limited supplemental medical payment coverage for injuries arising out of the event activities which is payable and access of any collectible insurance. Payment of any medical injuries not covered by my insurance, or the event limited supplemental medical insurance will be paid by me. 

PHOTO RELEASE 

I hereby grant First United Methodist Church permission to use me or my family's likeness in photography/video in any and all church publications, marketing materials, websites, brochures, and all other related media. A failure by me to notify the church of my desire "not" to have photos in any publication or web view is an automatic understanding that I do not object in any way of the use of any and all photographs by First United Methodist Church of Schuylkill Haven. 

 

I hereby provide the information below to give my consent to the General Permissions, Medical Treatment & Liability and Photo Release. 

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