Drama Camp Registration

The deadline to register is Sunday May 28th.

Step One: Open this medical release form and complete it. Then drop it off or mail it along with the program fee to the Church office at Minnetonka UMC, 17611 Lake Street Extension, Minnetonka, MN 55345.

YOUTH MEDICAL RELEASE FORM v 2008

Step Two: Complete and submit the online form below.

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

Register each participant using the form below:

Participant Information

First Name *

Last Name *

Street Address

City

Zip / Post Code

Home Phone

Birthdate *

Allergies/Medical Conditions

Parent/Guardian Information

Name *

Email *

Phone *

Additional Emergency Contact

Name *

Phone *

Permissions

The above registered camper has my permission to attend and participate in all Vacation Bible Schools Activities July 24-28, 2017.

By entering my full name below, I am electronically signing the permission form for the registered participant.

Enter First, Middle, Last Name to confirm

Photo Permission

During this camp, photos will be taken of campers throughout activities and events. You are receiving this request for your permission for your child’s photo/image and name to be published on minnetonkaumc.org and/or any other websites, newsletters, or public building spaces maintained, owned, and/or administrated by Minnetonka UMC. The law requires that we ask for your permission to use information about your child. Pursuant to law, we will not release any personally identifiable information without prior written consent from you as parent or guardian. Personally identifiable information includes youth names, age, grade, and photo or image.

I GRANT permission for ONLY this camper’s photo/image without any other personal identifiers to be published on the websites, newsletters, or public building spaces operated by Minnetonka UMC.

I GRANT permission for this camper’s photo/image and all other personal identifiers listed above to be published on the websites, newsletters, or public building spaces operated by Minnetonka UMC.

I DO NOT GRANT permission for this camper’s photo/image to be published on the websites, newsletters, or public building spaces operated by Minnetonka UMC.

By entering my full name below, I am electronically signing my photo permission as indicated above for the registered camper.

First, Middle, Last Name