FIRST NAME *
Parent or guardian filling out the form.
LAST NAME *
Parent or guardian filling out the form.
Phone number *
Phone type Mobile Home Work Other
Gender *
Select… Male Female
Emergency Contact #1 *
Full Name
Phone number
Phone type Mobile Home Work Other
Dismissal Auth #1 (First, Last)
Only complete if person is someone OTHER than parent/guardian listed above.
Dismissal Auth #2 (First, Last)
Only complete if person is someone OTHER than parent/guardian listed above.
Media Consent (SOCIAL MEDIA, WEBSITE, PHOTOGRAPHS & VIDEOS) *
Authorization and permission is hereby given by the undersigned to WILLIAMS MEMORIAL UMC to PHOTOGRAPH/VIDEO participant in appropriate manner and USE THE PHOTOGRAPHS/VIDEOS/LIKENESSES OF PARTICIPANT in ANY manner or media that WILLIAMS MEMORIAL UMC chooses, including but not limited to newsletters, websites, or advertising. PLEASE NOTE THAT THIS CONSENT APPLIES TO ALL PERSONS & MINORS LISTED ON THIS WAIVER. CHOOSING YES BELOW AUTHORIZES PHOTOGRAPH/VIDEO of ALL PERSONS LISTED ON THIS WAIVER.
Liability Release & Parental Consent (Digital Signature) *
LIABILITY AND CONSENT FORM FOR PARTICIPATION IN ALL WILLIAMS MEMORIAL UMC CHILDREN'S MINISTRY ACTIVITIES In consideration of my (our) child being accepted for participation in WILLIAMS MEMORIAL UMC CHILDREN'S MINISTRY activities at WILLIAMS MEMORIAL UNITED METHODIST CHURCH, I/we, the undersigned, acknowledge the inherent risks involved and hereby release, discharge, and hold harmless WILLIAMS MEMORIAL UNITED METHODIST CHURCH, its directors, staff, and volunteers from any and all liability, claims, or demands for personal injury, illness, or loss arising from participation in any activity, trip, or event. I/we understand and accept the risks of injury, illness, or death associated with participation and agree to assume full responsibility for all such risks. I/we also authorize the church to provide necessary transportation, food, and lodging for my (our) child. In the event of an emergency, I/we authorize church staff to seek medical treatment for my (our) child. If I/we cannot be reached, I/we give permission for a physician selected by the church to administer treatment, including hospitalization, injections, anesthesia, or surgery as needed. I/we agree to assume responsibility for any transportation costs if my (our) child needs to return home due to medical, disciplinary, or other reasons. I/we agree that if any person or persons are listed on this form that they are authorized by me/us to pick our child up from any and all events put on by WILLIAMS MEMORIAL. FURTHERMORE, BY SIGNING BELOW I UNDERSTAND THAT I CERTIFY ALL THE INFORMATION ABOVE TO BE CORRECT, AND REVIEWED BY ME/US. SHOULD ANY INFORMATION ON THIS FORM CHANGE, I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO IMMEDIATELY UPDATE WILLIAMS MEMORIAL UMC WITH THE MOST UP TO DATE INFORMATION REGARDING THE MINOR(S) ON THIS FORM AND THAT UNTIL I DO SO, WILLIAMS MEMORIAL UMC WILL USE THE INFO LISTED HERE AND WILL NOT BE AT FAULT IN ANY WAY SHOULD THIS NOT BE THE MOST UP TO DATE INFORMATION AT THAT TIME.
Check box to certify you have read and understand all wording and have no questions regarding the information on this waiver.
Parent/Gaurdian Digital Signature *
First & Last name typed here acts as a digital signature
FOLLOW US ON SOCIAL MEDIA
Take a moment to go ahead and follow us on Facebook. These platforms will be used to alert you of any new events, changes in planned events, or upcoming opportunities. If you have the time, help us grow! Invite some friends to like our page or share a post you like on your page. We appreciate the time you have taken to fill out this form. Children's Ministry Facebookhttps://www.facebook.com/profile.php?id=100091506764108 Williams Memorial UMC Facebookhttps://www.facebook.com/WilliamsMemorialUMC
Consider Partnering with us!
We would love to have you serve in our Children's Ministry department! At Williams Memorial UMC, we believe that investing in the next generation is one of the most important ways we can make a lasting impact. Our Children’s Ministry provides a wonderful opportunity for you to serve and be a positive influence on the lives of children. We are inviting parents to consider partnering with us! Whether you’re helping in the classroom, assisting with events, or providing support behind the scenes, your time and talents are INVALUABLE to our ministry. By serving, you’ll not only be helping children grow in their faith, but you’ll also create lasting relationships within our church community. Plus, it’s a great way to model the importance of service to your child. Here’s how you can get involved: Assist in Sunday school classes or small groups Help with special events or holiday programs Volunteer with crafts, games, or activities Support with set-up, clean-up, or administrative tasks No experience is required — just a loving heart and a willingness to serve. Friendly Note: All lessons are pre-prepared for you. You will not be asked to prepare lessons/crafts for bible study! If you’re interested, please choose which option below most correctly lines up with how you are being led to serve in this ministry! You are welcome to reach out to the director of Children's Ministries, Meagan Cedillo, at mcedillo@williamsumc.org OR by calling the front office at 903-832-8663 if you need more information or have any questions regarding opportunities. Thank you for considering how you can partner with us in shaping the next generation of believers!
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