Tuesday Activity
5/30/17 12:30-3:00 of Annual Conference in The Woodlands
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Name - First & Last *
Grade *
Sex *
Church *
active email address *
cell phone *
Health Insurance Company *
Health Insurance group/member numbers *
Health Insurance phone number *
Please indicate any emotional, behavioral, allergies, medications, restrictions, special conditions, or physical disabilities which may require special supervision.  Your answer will not result in exclusion from retreat except in matters of safety.  This information will be made available to adult leadership to further enrich your child's experience. medications & prescriptions must be in original bottle/container and turned into Eddie Erwin. *
Code of Conduct: As a representative of Christ and of The United Methodist Church, we, the participants of TXCUMC events, take seriously our responsibility to care for one another. This code represents affirmation of our concern for the well-being of the total community. We covenant with each other to ensure the safety of all, to make our time together most meaningful, and to care for the facility which we share. 1. Anything considered illegal under civil and criminal law in Texas is illegal for participants of any TXCUMC event.  This includes drug possession and use, alcohol consumption and possession by a minor, possession of firearms, weapons or fireworks, etc.  Tobacco use is disallowed for minors and discouraged for adults as well. 2. Dress should be appropriate for a co-ed Christian environment. 3. All participants are expected to participate in the event in full and be at designated places at all times. 4. Visitation between males and females will be in designated areas ONLY. 5. We will respect the person, equipment, and property of others as well as the public and private properties (living areas, meeting rooms, etc) in use during the event. 6. Any accidental damage to the property of the event location will be billed to the local church and will be the responsibility of the persons who caused the damage. Intentional damage is subject to additional penalties. 7. Cell phones, radios, CD players, Mp3 players, etc. may be used during free time, pending approval from event coordinator and do not disturb others.  I understand that violations of this covenant and/or other inappropriate behavior could require disciplinary action for youth and adults. Decisions about appropriate disciplinary action will be made by the adult group leaders and TXCUMC leadership.  TXCUMC reserves the right to call parents/guardians or to dismiss any person who breaks this code of conduct and send them home at their own expense. I understand that the Texas Annual Conference of the United Methodist Church will not be held responsible for any costs incurred due to medical or other treatment that is necessary, nor from any damages to any property while at the event, and will be the responsibility of the individual.  Please include both participant and parent/guardians names in acceptance of these guidelines. *
I consent to the collection and use of my personal images by photography or video recording at TXCUMC events. I acknowledge these images may be used on the TXCUMC website, newsletters, publications and social media accounts. I understand that no personal information, such as names, will be used in any publications unless express consent is given. *
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