Digital Children's Ministry Annual Form 
Guardians, please fill out the following form for the August 1, 2022, to July 31, 2023 Church term.
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List Child(ren) Name(s) and Birthdates *
Guardian Name(s) and Phone Number(s) *
KNOW ALL MEN BY THESE PRESENTS: That I, Guardian Name, the parent or guardian of Child's Name, by these presents do give my permission for them to attend and participate in all Noel United Methodist Church Activities held between August 1, 2021, and August 31, 2022, and for Noel United Methodist Church to provide any necessary transportation for this participant. I understand the schedule of events and know the costs involved. I further understand that responsible adults will supervise their activities; however, I also recognize that accidents and/or illnesses occur. In the event of such accident and/or illness I recognize that it may be necessary to proceed with medical and/or dental treatment for the well-being of my child. I hereby authorize the directors, employees and/or agents of Noel United Methodist Church to take my child to medical authorities and hereby authorize the attending physician, surgeon and/or dentist to exercise their professional judgment and assess the risk incident to the illness or injury and to choose the necessary treatment their professional judgment determines to be necessary for the health and well-being of my child including, but not limited to, the administration of examinations, diagnostic tests and medication (including anesthetics), performance of surgery, and any and all medical and/or dental care of treatment deemed necessary, as though I personally was giving them my full approval and support. I further agree to assume responsibility for all medical bills resulting from any such medical treatment. Further, should it be necessary for the participant to return home prior to schedule as a result of accident or illness, disciplinary action or otherwise, I hereby agree to assume responsibility for all transportation costs. I hereby release, forever discharge and agree to hold harmless Noel United Methodist Church, its directors, employees and/or agents from any and all liability, claims and demands, in the event of personal injury, sickness or death, as well as property damage and expenses of any nature or kind which may be incurred by the undersigned and the child participant that may occur while said child is participating in the above described trip or activity. The undersigned further agrees to hold harmless said church, its directors, employees and agents for any liability sustained by said church as the result of negligent, willful or intentional acts of said participant, including any expenses incurred. *
Please list all known allergies and/or medical conditions we should be aware of. Also, list emergency action plan for the conditions listed. *
I, ____________, the parent or guardian of ____________, am aware that Noel United Methodist Church may photograph or videotape my child while he or she is participating in church activities. These images may be uploaded to Noel’s website or used on social media (i.e. live-streaming on Facebook, Instagram), in publications such as Sunday morning slides or the Noel Now. They may also be used for observation, documentation, security, and publicity purposes. *
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