If different from above, enter the name you wish to have your child addressed by their leaders below:
Enter grade below for the 2022/23 school year:
Please enter your phone numbers below with dashes, ex. 000-000-0000
Emergency Contact (if Parents/Guardians are not available)
Authorization & Medical Consent
If you answered yes, please specify below:
We (parent/guardian) allow WMBC Ministry staff and volunteers to provide medical needs (ex. apply a bandaid, call medical help if needed) when your child is in our care AND the parent/guardian is not available.
I give permission for videos and photos of my child to be used in WMBC for the website, newsletters, digital announcement, social media, and other promotional material. I agree they can be viewed by anyone but no identifying information will be displayed without consent.
Would you like to receive email updates from Family Ministries Staff and/or your child's Small Group Leader?
WMBC is collecting and retaining this info in order to enroll your child in our programs, assign your child to appropriate small groups, and to inform you of updates or upcoming opportunities at WMBC. If you wish to limit the information please contact us.
I have read, understood, and agree with the above and sign it to cover all children's program activities for the program year effective as stated below. A separate Informed Letter of Consent will be sent home for off-site activities and activities of elevated risk.