First Methodist Church - Claremore

Claremore FMC permission slip

My child

First Name

Last Name

has my permission to

Have their picture taken and used in church publicity (website, newspaper, social media, etc.)
Participate in field trips during the 2024 year.
Receive medical treatment in the event of an emergency and I cannot be reached.

Emergency Contact information

First Name

Last Name

Phone Number

First Name

Last Name

Phone Number

Allergies or Health Notices

Text Area

Health Insurance Information

Text Input

Signature of Parent / Guardian

Signature

Date Input

Completing this form is mandatory for your child to participate in CFMC activities.