I) Student Information
Male Female
Name D.O.B. Age
Address
City State Zip
Grade School
Member of RUMC Visitor Guest of:
Tshirt Size (adult sizes) Small Medium Large X-large XX-large
II) Roswell Student Ministry Event Rules
1) No alcohol or tobacco in any form is ever permitted at youth events.
2) You will be respectful to your adult volunteers and Student Ministry staff.
3) You are to conduct yourself as a Christian by your words and your deeds at all times.
4) No profanity.
6) No fireworks, weapons, lighters or matches are allowed.
7) No guys and girls should ever be alone together.
8) If you are in question whther or not something is allowed, please ask an adult.
I have read and understand all of the Roswell Student Minisitry event rules. By checking the box below I agree to follow each of these rules. If I break a rule I understand that I can be sent home, at my parent's expense, as a result.
I agree Name Date
III) Event Costs
The total cost for the Generation Change Course is $30 and includes all expenses such as course materials, t-shirt, snacks and all other expenses. Deadline for resgitration is July 20th. Paypal will be available the week of July 9th and you can pay online through July 20th. You can also send a check payable to Roswell United Methodist Church (or RUMC) to: Student Minsitry c/o RUMC, 814 Mimosa Blvd, Roswell, GA, 30075. Refund Policy: Refunds, minus the book charges can be credited towards another RUMC event.. Any questions? Please email Jason Scott at scottj@rumc,com or Jill Cosgrove at jcosgrove@rumc.com.
IV) Legal Stuff
For Parents:
If there are any existing medical limitations, including allergies, which would affect or limit your child's activity, or of which medical personnel should be made aware, please indicate below. Medical conditions, current prescriptions/regular medications, and/or special instructions are:
Roswell United Methodist Church, including employees and representatives shall be held harmless from any suit, action, damages, or claims at law or otherwise, resulting from or arising out of any injury, accident, or illness which may befall (Name of student) and/or his/her property while a participant in this event.
By checking the box below, the parent or guardian hereby authorizes Roswell United Methodist Church representatives to take such action as may be necessary for the medical care or treatment including the administration of medication, performing of surgery, or other such action as needed in the event of injury or illness of participant when parent/guardian cannot be reached for authorization. This authorization may be presented to medical personnel without liability of said personnel to seek further authority.
In the event of a medical emergency the Roswell Student Ministries team will make every effort to contact a parent/guardian before seeking medical treatment. If we are unable to reach a parent we will exercise good judgment and seek medical treatment as needed. Roswell UMC will pay for the medical treatment and the parent/guardian will be responsible for the entire bill.
I agree Parent/Guardian Date
Please give us the names of two people that we may contact in the event of an emergency during the trip:
Name Relationship to Student
Phone 1 Phone 2
Name Relationship to Student
Phone 1 Phone 2
Roswell Student Ministry staff and adult volunteers will not be responsible for items that are lost, damaged, or stolen during the course of this course. Students will be responsible for their personal items such as wallets, ipods, phones, etc.
I have read and understand the above statement: (Students Initials)
Disclaimer: I understand that my photograph may be taken while on this trip and posted on the RUMC or Roswell Student Ministry websites or the RUMC or Roswell Student Ministry Facebook pages.
I understand and allow I understand and do not allow
