Kids - GODDARD UMC

Get ready for Summer Fun at Goddard UMC! Kids are invited to Summer Wacky Wednesdays!
We'll have games, crafts, projects, and a lesson about God!
Bring your lunch and we'll have a picnic!
Special surprise activities each week! Don't miss the fun!

Summer Wacky Wednesdays Registration

* Indicates required field

Child's Name *

First

Last

Child's Birthdate *

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent Phone Number *

Parent Email *

Emergency Contact (other than parent above) *

First

Last

Emergency Contact Phone Number *

Media Release
I do allow Goddard UMC to take and/or use photographs, voice, video, or digital tape of my child/youth.
Medical Release
I understand that said minor should not attend activities when knowingly ill or recently exposed to a contagious disease. If said minor becomes ill or injured while in the care or under the supervision of Goddard UMC, I authorize said minor to receive first aid and emergency care. I do hereby authorize any x-ray examination, anesthetic, dental, medical, or surgical diagnosis or treatment by any licensed physician or dental and/or hospital service that may be rendered to said minor under the general, specific or special consent of the Goddard UMC staff or volunteer, the temporary custodian of said minor. I authorize the physician or dentist to call in any necessary consultant at his/her discretion. It is understood that this consent is given in advance of any specific diagnosis or treatment being required, but is given to encourage those persons who have temporary custody of said minor, and said physician or dentist, to exercise his/her best judgment as to requirements of such diagnosis or the medical, dental, or surgical treatment. The undersigned shall be liable and agree to pay all cost and expenses incurred in connection with such medical and dental services rendered.
By checking and signing below I confirm that I have read and agree to the Media Release and Medical Release.

Media and Medical Release *

I agree

Parent Name *

Submit