Registration Form

Youth & Child

Child's Name

Birthday

Grade

Address

Address Line 1

Address Line 2

City

State

Zip Code

Preferred email(s) for communications for events

Phone

Allergies / Medications

Allergies

Regular Medications

Other information or special circumstances

Caregiver Information

Primary Caregiver 1

Relationship to Child

Phone

Primary Caregiver 2

Relationship to Child

Phone

Emergency Contact (if caregivers unavailable)

Relationship to Child

Phone

I authorize Chelsea First United Methodist Church (Chelsea First) to release my child to any Primary Caregiver or Emergency Contact listd above or to any of the following adults*:

*Please note that Chelsea First cannot release children under eight (8) years old to another family member who is under eighteen (18) years old.

Other Authorized Adults

Photography/Video Information

Photograph/Video Release (copy)

I authorize Chelsea First United Methodist Church (Chelsea First) to use photos, videos, and other images of my child for whom I have legal guardianship, which may be used for promotional materials or posted on the Chelsea First website, social media pages, and newsletters. Such images will not be sold to other parties.
I do not authorize Chelsea First to use photos, videos, or other images of my child(ren).

According to Chelsea First's Digital Communication Policy, no identifying information, including names, will be posted alongside a child's image.

Social Media, Email, Texting

Communication by Social Media, e-mail, and Texting Waiver

I authorize Chelsea First staff and/or volunteers to communicate with my child for whom I have legal guardianship by methods of social media, email, and/or testing. Before texting or emailing, adults shall verify that parents have signed a registration form and authorized communication via social media, email and/or testing on that form. All texting/emailing shall be in a group format. One-on-one texting/emailing with youth is not allowed. Parents and/or the staff leader must be copied on all texts and emails with youth recipients.
I do not authorize Chelsea First staff and/or volunteers to communicate with my child for whom I have legal guardianship by methods of social media, email, and/or texting.

Parent/Guardian Authorization

Signature

Date

Custom Captcha

Our church culture

Chelsea First United Methodist Church (Chelsea First) is a Christ-centered congregation with a positive, open, and engaging spirit. We are the church for everyone, at all seasons of life, and bring a grounded, engaged, and supportive approach to religious worship while working passionately toward making a positive impact in our community.

CONTACT US

📍 Chelsea First United Methodist Church
128 Park Street, Chelsea, MI 48118
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🕒 Office Hours
Mon–Wed: 8:00 AM–4:00 PM
Thu–Fri: 8:00 AM–3:00 PM

📞 Phone
(734) 475-8119

✉️ Email
info@chelseaumc.org

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