Youth

BEMC Youth Program for those in Grades 6-12


For more information contact the youth leaders at breslauemc.youth@gmail.com 

WANT TO JOIN? HAVE A PARENT OR GUARDIAN FILL OUT THE FORM BELOW!

YOUTH Registration & Medical Waiver

Breslau Evangelical Missionary Church
102 Woolwich Street S., Breslau ON N0B 1M0 (519) 648-2712 www.bemc.ca

The youth program at Breslau Evangelical Missionary Church is a ministry for students in grade 6-12. It involves Bible studies and social events as well as occasional regional events. All of our youth leaders are approved workers and follow the Plan to Protect adopted by the Deacons’ board. It is our desire to minister to the youth of our community in a fun, safe, and meaningful manner.

Purposes and Extent
Breslau Evangelical Missionary Church is collecting and retaining this personal information for the purpose of enrolling your child(ren) in our programs, to assign them to the appropriate classes, to develop and nurture ongoing relationships with you and your child(ren), and to inform you of program updates and upcoming opportunities at our Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Breslau Evangelical Missionary Church to limit the information collected, or to view your child’s/children’s information, please contact us.
The information on this form will be used for all field trips & special events in the current school year and following summer. However, each time we have an overnight trip, we will ask you to fill out a separate form for the specific trip. Thank you!

*Your youth should not carry any medication other than an EpiPen or inhaler to any non-overnight event.

Waiver – Please Read Carefully
I/we, the parents or guardians named below, authorize the ministry staff of Breslau Evangelical Missionary Church to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for participant(s) named above.

I/we, named below, undertake and agree to indemnify and hold blameless the Ministry Staff, Breslau Evangelical Missionary Church, its Pastors and Board of Deacons from and against any loss, damage or injury suffered by the participant(s) as a result of being part of the activities of the Breslau Evangelical Missionary Church, as well as of any medical treatment authorized by the supervising individuals representing the church. This consent and authorization is effective only when participating in or traveling to events of the Breslau Evangelical Missionary Church.

By submitting this form I, the parent or guardian named below, acknowledge that I have read, understood, and agree with the information for the program year.

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