Wesley United Methodist Church Confirmation Registration

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CONFIRMATION INFORMATION

 
 
 
 
 
 
 
 
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PARENT/YOUTH ORIENTATION

The Parent/Youth Orientation meeting will be held Sunday, September 9, 2018 from 9:00 - 9:45 a.m. in Room 4.
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ABOUT YOU

 
 
 
 
PRIMARY CONTACT INFORMATION

 
 
 
 
 
 
EMERGENCY CONTACT INFORMATION

 
 
 
 
OTHER INFORMATION YOU WOULD LIKE US TO KNOW . . .

 
IN CASE OF EMERGENCY

In the event that you cannot be reached at one of the phone numbers listed, do you authorize Wesley UMC staff and/or your emergency contact person to consent to any medical or dental diagnosis and/or treatment and hospital care (including but not limited to ambulance and/or paramedic service, x-ray, examination, anesthetic, surgery) to be rendered on yur child(ren)?
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HEALTH INSURANCE INFORMATION

 
 
 
 
MEDIA RELEASE FORM

In addition to being committed to the safety of our children, we are also proud of them and their ministries! From time to time, pictures, audio, or videos might be taken of the children putting their faith in action, such as during the musical, Christmas Eve service, or an extra fun Sunday school activity. Wesley UMC would like your permission to use audio, video, or photographs of your child(ren) for use of, including, but not limited to, Wesley UMC promotional materials, Wesley UMC website, and/or social media. Names of minors will never appear with audio, video, or photographs.

Please read the following statement and check either yes or no.

I, as parent or legal guardian, give my fill and unconditional consent and permission for Wesley United Methodist Church (WUMC) to audio record, video record, and/or photograph my child(ren), and to use words and images, edited in part or presented in full, in any and all forms of print and broadcast use, including publications, video and audio productions, online and internet presentations, podcasts, social media, and in any channel distribution for any public or internal purpose in support of WUMC’s mission to make disciples of Jesus Christ for the transformation of the world.

I seek and require no compensation or conditions for this consent and I release WUMC from any liability or obligation in or resulting from the use of said words and/or images in all media formats.
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Description

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