Join us for the Warmth in Seasons Lunch Bunch!
11:30-2:00. *Bring a change of clothes!
Please plan to stay after worship and meet in the Fellowship Hall! Pick up will be at the Commerce Street entrance.
* Denotes a required field to fill in
(including area code)
Emergency Contact Name
Emergency Contact Phone Number
Please list any food allergies.
Waiver Acceptance Required
Please read and sign the below waiver.
I understand that all reasonable safety precautions will be taken at all times by Madison Street United Methodist Church staff and chaperones. In giving permission for my child to participate in the ministries of MSUMC, I release MSUMC, chaperones, and church staff from liability from damages, losses, disease, or injuries incurred by my child. I understand that I, or the emergency contact listed on this form will be contacted in the case of an emergency. In the case of a health emergency, I hereby give permission and consent to the hospital and/or physician selected by the church staff or chaperones to order x-rays, routine tests, and treatment for the health of my child while said child is under the care, custody, and control of MSUMC. MSUMC has my permission to photograph my child for church promotional purposes, including posting on the church website and Facebook pages. At no time will a child be identified in said pictures by name, address, or other identifying information unless prior written permission is granted by a parent or legal guardian. I also give permission for my child to ride the church van to and from destination activities.
I have read and accept this waiver