First Presbyterian Church - Westminster, MD
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  • Home
    • Prayer Concern
  • About Us
    • About Us
    • Christian Formation Schedule
    • Church Calendar
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    • Contact
    • Gallery
  • Need Help?
    • Baltimore County
    • Carroll County >
      • Meals
      • Groceries
      • By Location
      • Senior & Community Centers
      • Something Else
  • Giving
    • Giving Matters
    • Mobile Giving
    • Online Giving
  • Get Involved
    • Sign Up
    • In-House Ministry
    • Local Ministry
    • Christian Formation
    • Music Program
  • Members
    • Racial Justice
    • Events >
      • Christmas
      • Game Night
    • Publications
    • Resources
    • Church Officers >
      • Session
      • Trustees
      • Deacons
  • Meetings
    First Presbyterian Church Westminster, MD  
     Parental Permission, Emergency Medical Authorization and Release of Liability Form
     
    ***Required for every student participating in youth events***
    ​
    Date of Birth
    Choose all that apply.

    Youth Communication Preferences:

    Photo Publication Permission:

    ​Throughout the year, at various events, photos are taken of our youth. These photos may be shared on the church bulletin boards, church publications, the FPC website, the church Facebook page (First Presbyterian Church of Westminster), The FPC Youth Shutterfly page, Group me, or the youth Instagram page (FPCyouth21157). Please let us know if we may publish photos of your child.
    Information regarding youth activities will be regularly posted in the Grapevine, the Messenger, the FPC website, Shutterfly, Instagram, Group Me and mailed postcards.  ​

    Emergency Procedures:

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    Medical Insurance Information:

                                                 ** Copies of insurance cards will be required for any out of town trips.** 
     
     
    I give consent for:
                    (1)the above-named minor to participate in First  Presbyterian Church Youth Group activities from September 2019-August 2020.  I understand that the minor may need to be transported in or around the Westminster and surrounding areas in order to participate in the Youth Group activities and I give my consent for a designated youth leader to transport the minor.
     
                    (2)the administration of any emergency medical treatment for the above-named minor deemed necessary by a health care professional and the transfer of the minor to any medical facility reasonably accessible, provided that all reasonable attempts to contact me have been unsuccessful.
     
                    In consideration for First Presbyterian Church arranging Youth Group activities, I hereby waive all claims against First Presbyterian Church, its officers and members and release them from any and all liability which they might have in connection with any injury, illness, or loss of property which may occur to the minor as a result of participation in the Youth Group activities.
     
                    The minor has health and hospitalization insurance or medical assistance which will provide for his/her medical expenses in the event of injury.  I understand that First Presbyterian Church is not responsible for providing medical care at its expense in the event of the minor’s injury or illness as a result of participating in Youth Group activities.
     
                    This Parental Permission, Emergency Medical Authorization, and Release of Liability Form is effective from the date of execution through August 31, 2020, unless expressly revoked in writing.
    Entering your name is considered an electronic signature. You agree the information on this form is accurate and that the youth may attend the event mentioned.
    Questions regarding youth activities can always be addressed to [email protected]  or [email protected]
Submit
(Fill out this online registration form or download
​the file below, print, and return to the youth leader
.)
permission_waiver_20172018.pdf
File Size: 620 kb
File Type: pdf
Download File

First Presbyterian Church
65 Washington Road
Westminster, MD 21157
410-861-5600
[email protected]

Sunday Service Time
10:00 am: In-Person and  Virtual Worship Service

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