JPF Registration - First United Church of Christ Milford - 2021-2022
JPF will be held on Sunday evenings, 6-7pm (with a few exceptions) and either in person or online as needed based on current guidance.

Part of this registration includes agreeing to our JPF covenant, both for youth and parents/guardians.  We ask that youth and their adults complete this form together so all understand the expectations of being part of JPF.
I, Kelsey DeCarlo as Minister of Faith Formation, covenant with you to make every reasonable effort to:
Maintain the health and safety of youth and all participants whenever possible;
Work with advisors to respect the voices of the youth and empower the youth to lead;
Respect differences within the group and work toward reconciliation whenever possible;
Provide the opportunity for participants to experience God’s grace together

Our JPF Advisors covenant to
Set their best example of Christian discipleship and leadership for the youth
Maintain safe physical and emotional boundaries for the JPF community
Maintain confidentiality when applicable
Help update and work with parents on events and help plan and lead events.

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Email *
Family Information *
Please include first and last names for two Guardians
Mailing Address *
Phone number *
Please include home phone (if applicable) and daytime phone numbers for both Guardians
Email addresses *
Please include all email addresses to which you would like JPF updates sent
We send JPF updates and reminders using Remind. Please enter the phone number(s) or email address(es) you would like signed up for these notifications. *
Youth info - please include name, age, grade, and school *
Please include anything we should know about your child, including any allergies *
Please list any medication being taken, prescription or non-; reason for taking; dosage and frequency *
Please enter your youth's medical insurance information, including policy number and carrier. *
Volunteer opportunities *
We hope everyone will help in some way on an as needed basis.  Please let us know how you would like to help!
Required
Photo Release: First UCC will only publish photos and videos that staff deem appropriate in nature and will not publish the names of youth.  First UCC is not responsible for the later attachment of names (tagging) to JPF photos.  I give permission for photos and video taken of my child during JPF 2021-2022 events to be used by First UCC on website, publications, bulletin boards and in written materials.    Please initial *
I understand that this form registers youth for the First United Church of Christ’s (First UCC) Junior Pilgrim Fellowship (JPF) 2021-2022 and grants permission for my child to participate in JPF; have pictures of them included in the church newsletters, publications, and bulletin boards; travel with JPF on any trips away from the church; and have medical care sought by adult advisors in case of an emergency when I cannot be reached (you would be contacted as soon as possible).  I understand that I must complete this form in order for your youth to participate in JPF.    Please initial *
Any youth who breaks the covenant of JPF is subject to two warnings before being removed for smaller issues or immediate removal for major issues. Young people removed from an in-person meeting will rely on their family for transportation. Electronic devices used or seen on a youth’s person will be confiscated for the remainder of the meeting and will be returned to Parent/Guardian so that they are aware of the situation..  Youth ministry is intended to give young people an opportunity to be nurtured in faith and community, set apart from other pressures and anxieties.  Youth may either leave their devices at home or place them in a box until the end of the meeting.  Electronic devices include but not limited to: cellular phones, music devices, video games, etc.  Substantial behavior issues will be taken up with the young person’s family to ensure that the group is not endangered or disrupted in the future. This requires parents to understand the purpose of JPF and to support its leadership. Kelsey DeCarlo, in consultation with advisors and the Faith Formation Ministry, can set terms of temporary suspension or permanent expulsion from JPF if they deem it necessary. Appeals of such a decision can be made to the Faith Formation Ministry.    Please initial *
Covenant: Youth    I seek to attend as many JPF meetings as possible, understand that by participating in JPF activities, I am opened to fellowship and faith of the First UCC. I will represent the church and its Christian faith and values. I will do my part to help plan contribute to JPF events and will uphold the standard of behavior required for the safety of the group and will abide by the rules of JPF as maintained by Kelsey DeCarlo and other advisors. If I fail to follow the above rules, I will honor the consequences.     Youth, please initial *
Covenant: Parents/Guardians    I understand that by my child participating in JPF, They agree to the rules of behavior and consequences above. I agree to support JPF’s ministries as well as the rules, consequences, and the advisors as they oversee the group. I understand that in the case of extreme behavior issues, I may be asked to pick up my child early from an event.  I understand that I am asked to confirm my child’s attendance to special events, be available to drive to off-site events, or to help staff special events.    Parents/guardians, please initial *
I hereby give permission for my child to be an active participant in JPF of the First UCC. I understand that while all precautions will be taken, neither Advisors, Staff, nor the First UCC can be held responsible for everyday hazards. In case of emergency, I give the Advisors and Staff of JPF of the First UCC permission to seek professional medical care for my child. This includes, but is not limited to, doctor’s examination and treatment, X-Ray, Hospital or Clinic Services, and any other treatment or diagnostic examination including the use of anesthesia. It is understood that this is given in advance of any specific diagnosis or treatment and is given to encourage those persons who have temporary custody of my child, in my absence, to exercise their best judgment as to the requirements of such diagnosis or said medical treatment. This consent will be effective September 08, 2021 through September 08, 2022. It is delivered to the said persons entrusted with the care, custody and control of the said minor child. I understand that any and all medical expenses incurred are my responsibility and that there is no medical insurance coverage provided by the First UCC. *
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