Ministries Youth (Grades 7-12)

Youth Ministry Registration Form

Youth Ministry Registration Form 2016-2017

*Denotes Required Field

Parent/Guardian 1

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Parent/Guardian 2
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Emergency Contact (If Parent Unavailable)
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Child 1
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Child 2
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Child 3
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Please select the desired responses

Authorization for Treatment

I hereby give permission to the medical personnel selected by McKernan Baptist Youth Ministry and McKernan Baptist Church to provide medical care in the best interest of my son/daughter in case of a medical emergency. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by McKernan Baptist Youth Ministry and McKernan Baptist Church to treat my son/daughter, including hospitalization, if necessary.

Photo Release

I hereby give permission to McKernan Baptist Youth Minstry and McKernan Baptist Church to use photographs of my son/daughter and to display and/or copy the works of my son/daughter for the sole use of McKernan Baptist Youth Ministry and McKernan Baptist Church. I understand that these items may also be posted on the church website, official Church social media pages, or included in church publications.

Transportation Release

I hereby give permission to McKernan Baptist Youth Ministry, Pastors of McKernan Baptist Church, and all Youth Ministry Team Leaders to transport my son/daughter during any and all McKernan Baptist Youth Ministry activity and ministry visits by using their own personal vehicles, public transportation and vehicle rentals.

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