2025-2026 Youth Permission Form

Filling out this permission form (along with a signed Notary Permission Form) allows your child to ride the church bus on Wednesdays and attend on/off campus events at First Methodist Church Wetumpka for the 2025-2026 school year.

If you have any issues filling out this form or need a physical copy of the Notary Permission Form, please email either Ashley, our Children's Director, at ashley@wetumpkafirst.com or Jamie, our Student Minister, at jamie@wetumpkafirst.com.

Your name *

Email address *

Parent/Guardian Information

Cell Phone:

Home Phone:

Other Phone:

Home Address:

What is the best way to contact you?

Cell Phone

Home Phone

Other

Insurance Information (this information is only used in an emergency situation where you and your emergency contacts cannot be reached):

Provider
Policy Number
Policy Holder
Group Number

If possible, please provide a physical copy or email a scan of your insurance card/information to either ashley@wetumpkafirst.com or jamie@wetumpkafirst.com.

Alternate/Emergency Contact:

Please include your emergency contact's name, relation to child, and phone number.

Alternate/Emergency Contact:

Please include your emergency contact's name, relation to child, and phone number.

Who can pick up your child?

Please list anyone who has permission to pick up your child from church events and activities. Include the following information:

Name
Relationship to Child
Address
Phone

Child Information

Child's First and Last Name:

Date of Birth:

Current Grade:

School:

Home Address (if different than parent/guardian):

Dietary Restrictions:

Does your child have any dietary restrictions, ie vegetarian, gluten free, food allergies, etc.? If so, please specify.

Allergies and Medications:

Please list all known allergies for your child.
Please list any medications your child is currently taking.

Special Needs:

List all physical limitations, mental conditions, and/or special needs of that we should be aware of to best care for your child and help them engage with our volunteers, programs, and others in the student ministry family more effectively.

Additional Permissions:

I give permission for my child to participate in (check each box you agree to):

Transportation provided by First Methodist Church Wetumpka (this includes transportation from school to FMC Wetumpka on Wednesdays and special events)

Attending and participating in activities with First Methodist Church Wetumpka (on and off the church campus)

Photographs being taken of your child (these might be used on the First Methodist Church Wetumpka website, Facebook page, etc. - names will never be posted)

Digital Signature

To the best of my ability, I acknowledge that all of the information provided is accurate. I also agree that I will submit the additional Notary Form to either Ashley Smith (Children's Director) or Jamie Farquhar (Student Minister).

If you need a printed/physical Notary Permission Form, please see Ashley or Jamie.

I agree