Youth Registration Information

If applicable, please complete info for an additional parent/guardian.

Medical Information

All youth who participate in our programs must have a completed current Master Medical Form prior to participating in any offsite event. 

This form will be kept on file with the church for the program year 2023-2024. If any of the medical info changes within the year, please notify Sydney Harkrider at [email protected] .

Master Medical form 2023-24



The following information must be filled in by the parent/guardian.  The intent of this information is to provide our staff and volunteers with background to provide appropriate care.   Any changes should be communicated with us as updates are necessary.   

List all known allergies to food, medication, or other allergens.  Describe reaction and management of the reaction.  Also, please explain any medication conditions that staff should be aware of.


I grant permission for my child/youth to receive any emergency medical treatment and/or transportation for medical/hospital treatment while participating in classes, worship activities, fellowship groups, camps, mission trips, retreats, and other programs with First United Methodist Church, 516 Church Street, Evanston IL 60201, 847-864-6181.

Additional Information

Photo, Video, Podcast, Social Media Release

First United Methodist Church of Evanston, IL will use current and prior photographs and/or videos of and quotations from our youth in our print publications, website and social media pages. These photos, videos and quotations are never associated with the full name of the youth. Photos, videos, and quotes are used solely to promote and support our ministry.

Youth and Family Covenant Agreement

Waiver and Release of Liability

I agree that First United Methodist Church Evanston, its staff and volunteers, will not be held responsible for accidents arising from my child's participation in on and offsite church activities. In the event that my child's parent/caregiver and/or emergency contact cannot be reached in case of an emergency, I hereby grant permission to the physician selected by the church to secure and administer treatment. I agree to indemnify and hold harmless First United Methodist Church Evanston, its staff and volunteers, against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone on my behalf.

By clicking the submit button, I am hereby registering my youth for 2023-2024 programming activities at First United Methodist Church of Evanston.

Almost done. Where should we send the confirmation?

RegFox Event Registration Software