2022 UMCPB Summer Volunteer Form

Parent / Guardian (1) Name
Parent/ Guardian (1) Email

Medical Information

We want you to know that while your child(ren) is at the United Methodist Church of the Palm Beaches, we will take every precaution to ensure his/her safety.  In the event of an emergency, we will attempt to reach you or an approved guardian.  If all attempts to reach someone fail, we need your permission to seek medical attention for your child(ren).

Photo Release Notice


Photographs and video are often taken during Ministry programming and events.  The United Methodist Church of the Palm Beaches needs permission from you, the parent or legal guardian, to publish (in print or online) videos/photos/images of your child.  This includes printed materials published by UMCPB (bulletin, newsletter, brochures) and/or UMCPB related websites (our church's Facebook page, the Children's Ministry Facebook group, and/or the church's website.


The use of photographs is limited to educational, historical, and non-commercial purposes.