Children's Ministry Registration Form

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Please complete the following form for you and your child prior to participating in our children's ministry programs.

Child 1 Name *

Child's Birthdate *

YYYY

Grade *

School *

Child 2 Name

Child's Birthdate

YYYY

Grade

School

Child 3 Name

Child's Birthdate

YYYY

Grade

Child 4 Name

School

Child's Birthdate

YYYY

Grade

School

Parent/Guardian Name *

Cell # (while at church) *

Email *

Mailing Address *

Legal Release: I acknowledge that I am a parent or legal guardian of the above child(ren) and I release Dripping Springs United Methodist Church, its agents, employees, representatives, and volunteer workers from any and all liability if my child is injured during any children’s ministry activity or exposed to COVID 19 while in attendance at any children’s ministry activity. *

I agree

I disagree

Required

Photo Release: I give permission to DSUMC to photograph or video my child during any children’s ministry activity and to use such photographs or videos in all forms of media, including crafts, class pictures, videos, slideshows, websites, social media, newsletters, and displays. *

I give permission

I do not give permission

Medical Release: In the event an emergency arises, I authorize DSUMC staff or volunteers to give consent for my child to receive life-saving or other medical treatment until I can be reached *

I give authorization

I do not give authorization

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