Thank you for bringing your child to Utica Church of Christ. Our goal is to teach your child about God (Father, Son, and Holy Spirit), the Bible and godly living. In order to provide the safest environment for you child, we need this form filled out completely. Please complete the form below. If you have questions, call 740-892-3838.
If no, would you like to be contacted to learn more about our church?
By initialing below, you release Utica Church of Christ and its authorized representatives and staff from liability of any kind and character upon any claim, demand, or cause of action which might be asserted in behalf of said minor against said church, representatives, or staff. Furthermore, in the event of an accident or injury, if the children’s leader responsible for my child or their representatives are unable to contact the parent(s) or guardian(s), we hereby grant permission to the children’s leader responsible for my child or their representatives to administer necessary first aid, and/or to take my child to the nearest medical facility for additional treatment by a physician/medical specialist. In addition, I will notify Utica Church of Christ in writing of any changes in medications, allergies or medical conditions that occur for my child while my child participates in the Children’s Ministries of Utica Church of Christ, Utica Ohio.