Bethel Registration/Medical Form
Please complete the form below for each child participating in a Bethel Church group, Sunday School or function within this school-year cycle.

Remember that you need only complete one form per child even if they will participate in more than one group. The information will be stored for all groups you check below. Thank you!
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  • If your child does not have a cell phone or if you choose to not provide us with the number, simply click NO, here.
  • PARENT/GUARDIAN INFORMATION

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  • MEDICAL INFORMATION

    The following information is required for use in case of medical emergency only.
  • Additional Information

  • Covid Safety Protocol:

    In an effort to diminish the possibility of covid transmission during Bethel activities, we will be implementing the following safety procedures:

    1. Masks are not required, but you may choose to wear one at any time. However, all unvaccinated or immuno-compromised children and adults are strongly encouraged to wear a face mask (Sunday School, Youth Group, music rehearsals, etc.)
    2. Hand-washing and disinfecting precautions will be observed.
    3. Participants agree to NOT attend Bethel functions should they experience any covid-related symptoms OR be exposed to anyone who has contracted covid.

    Music Rehearsal-specific Safety Protocol:

    1. Participants may choose to wear a mask at any time but are not required to. However, those who are unvaccinated or are immuno-compromised are encouraged to wear a mask or refrain from participating in choral ensembles.
    2. Children’s choirs will meet for no more than 45 minutes at a time. Adult choir rehearsals may be reduced to 50 minutes should the need arise.
    3. Physical distancing of three or more feet will be used for all rehearsals and performances when possible, which may mean that ensembles will sing instead of the entire group, depending on CDC guidance.
    4. A commercial-grade HEPA filtration system will be used to circulate and clean the air in the music room and a 30 minute break between rehearsals will allow time for the air to be circulated properly.
    5. Hand-washing and disinfecting precautions will be observed.
    6. We will be prepared to alter or suspend rehearsals should it become necessary.
    7. Participants agree to not attend rehearsals/worship services if they show any signs or symptoms of covid OR if they have been exposed to someone who has contracted covid.
    8. Should a participant contract covid after having attended a rehearsal or worship service, they agree to make Joyce Mentzer aware of it so that anyone exposed can be notified.
  • Please sign using either your mouse or your finger/stylus on a touch screen. By signing you affirm that you have read and agree to follow the covid safety protocol above. Thank you for your understanding and cooperation.