Kids - GODDARD UMC

Wacky Wednesdays 2024-2025!

Children Pre-Kindergarten to 5th Grade
We'll have games, crafts, music, snacks, and a lesson about God!
· 3:30 - 4:00 p.m. - Drop Off, Gathering time, Snacks, and Free play
· 4:00 - 5:30 p.m. - Games, Lesson, Music, Crafts
· 5:30 p.m. - Pick Up

Church Bus Pick Up is available from Ballman Elementary! Fill out the Bus Form below if you need to ride!

Wacky Wednesdays 2024-2025 Registration

* Indicates required field

Child Name *

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Last

Child Birthdate *

Parent Email *

Grade *

School *

Parent Name *

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Last

Parent Phone *

Mailing Address *

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Line 2

City

State

Zip Code

Country

Emergency Contact (Other than parent above) *

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Last

Emergency Contact phone *

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 typing my name below, I confirm that I have read and agree to the Media Release and Medical Release.

Parent Signature *

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