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Youth Sunday School

Youth Choir

UMYF

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©2007 - Powder Springs FUMC

PSFUMC Youth Event Registration Form

Which event(s) would you like to register for? Student Full Name Student Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade Student Age Student GenderMaleFemale Home Phone Student E-mail Address T-Shirt Size SmallMediumLargeX-LargeXX-LargeOther What is your address? Student Cell Phone Parent/Guardian Name(s) Parent E-mail Address Parent Cell Phone Are there any medical conditions or allergies we need to be aware of? Is your current medical insurance card on file in the Youth Office?YesNoI'm not sure Student: Will you abide by all rules and plans set forth by leaders of the Powder Springs First United Methodist Church Youth Ministry during the course of this event?YesNo Parent(s): As the legal guardians of the student named above, do you give permission for the named student to participate in the above named activity with the leaders of the PSFUMC Youth Ministry? Do you understand that in the event of an emergency that the leaders of PSFUMC Youth Ministry will do everything in their power to contact you personally, but in the event that they are unable to do so, you are giving your permission for the leaders to seek necessary medical attention for the student named above?YesNo Parent(s): Do you give permission to PSFUMC to use your student's photograph in its official printed publications (including local newspapers) without further consideration, and do you acknowledge PSFUMC's right to edit the photograph at its discretion either now or at another time? I agree to indemnify and hold harmless PSFUMC from any claims.YesNo