Youth Ministry Safety Policies at

Poughkeepsie United MethodistChurch

Leaders of the United Methodist Youth Groups have done the following things to ensure the safety of our youth and adult leaders.

  • Chaperones are at least 23-years old. Each has attended our church for at least 6 months or is paired with an adult who has attended our church for more than 6 months.
  • No fewer than two non-related adults will be present at all Youth meetings and events. (A 1:10 advisor to member ratio will be maintained for groups larger than 20.)
  • We will always have both male and female adults serving as chaperones.

There are additional considerations for off-campus trips and events:

  • Drivers will be legally licensed and insured, and will be at least 23 years old.
  • Vehicles will be in safe condition and will have working seatbelts for all passengers.
  • A 1:5 advisor to member ratio will be maintained during off-campus trips and events.
  • Additional information, rules, and itineraries will be distributed prior to off-campus trips.

Youth Director’s Commitment

As the Directors of Youth Ministry at PUMC, the safety and well-being of our youth is my utmost concern.

My commitment to our youth and their parents is: I will see that proper supervision is provided at this event, that adult advisors are properly trained, that all steps are taken to ensure the safety of the participants, and that all rules and regulations of the church and Youth Fellowship are upheld.

I am always available to answer any questions or discuss any concerns at (845) 625-8777

.

ABOUT THIS EVENT

Bring your Bible, a pencil and a notebook or journal.

Bring bedding, pillow, and towel.

Bring layered warm clothes for three days including an extra change of clothes for outdoor play.

Bring your own soap, toothbrush and other toiletries.

Bringsnacks to share.

Please eat prior to arrival on Friday.

DO NOT bring iPods, CD players, game boys or other personal portable entertainment items that isolate you from others.

Senior High Fall Camp

At

Bowdoin Park

Event Participation

Covenant

We sign. You sign. They sign.

Poughkeepsie

United Methodist Youth

This Permission Slip and Medical Release Form has been prepared especially for

Print Student’s Name

Participant Agreement

As a participant in this event with the Poughkeepsie United Methodist Youth Ministry, my commitment to my adult advisors and fellow participants is:

I will not possess or use alcohol, drugs, or tobacco or any fireworks, lighters, or weapons during this event.

I will respect God and others in the group by using only appropriate language, not wearing offensive or immodest clothing, and participating in the activities.

I will respect the property of retreat site and the personal property of the other participants.

I will always wear a seatbelt when traveling with the group and will abide by all safety guidelines established by the adult advisors.

I will bring to the Youth Director any concerns I have over any planned activity, safety issue, program content or other issue.

______

Signed

______

Date

Emergency Contact Information

In case of emergency and parents cannot be contacted:

  1. ______

(______) ______

  1. ______

(______) ______

Permission and Release Form

As the parent/legal guardian of the student named on this form, I hereby give permission for him/her to attend and participate in this event with the PoughkeepsieUnitedMethodistChurch, Poughkeepsie, NY.

It is understood that although proper safety precautions will always be observed, there are inherent risks involved in any ministry or athletic event. I hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of his/her involvement.

In the event that he/she is injured and requires the attention of a doctor, I consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I agree to hold such person harmless of any claims, demands, or suits for damages arising from the giving of such consent. I also acknowledge that I will ultimately be responsible for the cost of medical care should the cost of the medical care not be reimbursed by my health insurance provider. Further, I affirm that the health insurance information provided within this document is accurate at this date, and will to the best of my knowledge, still be in force for the student named on this document.

It is also agreed that he/she will be brought/sent home at my expense should illness occur or it be deemed necessary by the adult advisors.

______

Parental signature

______

Date

Medical Information

Please fill in the following information for

the participant and make sure it is correct.

Date of Birth: Age: Gender:

Insurance Company:

Insurance Policy Number:

Physician’s Phone Number:

Additional Medical Information:

Parent’s Names:

Home Phone Number: