2018 HUMC Youth Retreat Registration

Youth's Name

This address will receive a confirmation email

Youth's Cell Phone

Grade

Emergency Contact Information

Emergency Contact Name

Relationship to Youth

Emergency Phone

I herby give Huntingtown United Methodist Church permission to administer basic first aid and/or CPR to my child and/or take my child to a hospital for medical treatment when I cannot be reached or when delay would be dangerous to my child's health.

Yes

Would you like to experience this retreat with your youth as a chaperone?

Yes No

Adult Chaperone Name

Adult Chaperone Cell Phone

Adult Chaperone Email

This address will receive a confirmation email

Comments

Instructions

Registration for this retreat will be due by Sunday, November 4th!

Please give permission form along with their $25 registration fee to Ms. Sheila. The permission form will be emailed to you prior to the retreat weekend. Assistance with this registration fee is available upon request. All checks should be made payable to HUMC with “2018 HUMC Youth Retreat” written in the memo line.

Photograph & Social Media Policy

Photographs of children and/or youth participating in ministry activities sponsored by Huntingtown United Methodist Church may be published in the public domain (e.g., local newspapers, church web site and church social media sites). When a parent gives consent for their child/children or youth to participate in such an activity or completes the appropriate registration, permission to publish photos in such a domain is also implicitly given. There is no “opt-out” provision for parents in this matter.

2018 HUMC Youth Retreat Registration

Description

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