Barbie Movie Night

Youth from First Parish of Watertown and First Parish in Lexington are invited to a Barbie movie night in the First Parish of Watertown Social Hall on Nov. 12th from 6:30 pm - 8:30 pm.

Please use this form to register.

If you have any questions or concerns please reach out to Samantha Eyster at dlfe@fpwatertown.org.

Youth Information:

Please answer the following questions for your youth only. Parents will provide there info in a later section.

Name

Does your youth have any dietary restrictions?

What accessibility considerations would you like me to know as I make plans for your youth?

PHOTOS

Full Permission: Permission to use my child's or youths photos or likeness, first name, and age on the church website, public facebook page, in church fliers and other promotional materials.

Limited Permission: Pictures, first name and child's age may be used only on church grounds, in the closed Facebook group (not on the public page), and during streamed Zoom worship services. Elements including your child's or youth's image will not be posted or shared anywhere else without your express permission.

NO permission: No images or identifying factors regarding your children may be used by the church without your express permission.

First Parish of Watertown will never publish your child's last name or any other personal information.

Photo Permission

Is there anything else you want me to know about your youth?

Emergency Contact(s)

A trusted person(s), who is at least 18 years old, and is not a primary caregiver.

Please select one:

Parent's are the emergency contacts (no need to enter additional information) I do not wish to provide an emergency contact I have more emergency contacts that I'd like to add (someone will follow up to collect this information)

Contact 1:

Name (first & last):

Phone

Relationship to Child/Youth:

Contact 2:

Name:

Phone

Relationship to Child/Youth:

Contact 3:

Name (first and last):

Phone

Relationship to Child/Youth:

Contact 4:

Name (first & last):

Phone

Relationship to Child/Youth:

Caregiver(s) Information

Please fill out the following sections for the caregiver(s) who generally bring this child/youth to church or church related events. If there are additional caregivers please indicate this by checking the box at the end of this section and someone will follow up to assist in collecting that information.

Caregiver 1:

Name (first & last):

Phone

This address will receive a confirmation email

Address

I prefer to be contacted by...

Phone Call Text Email Group Text/Messaging App

Caregiver 2:

Name (first & last):

Phone

This address will receive a confirmation email

I prefer to be contacted by... Phone Call Text Email Group text/Messaging App

I'd like someone to reach out to me to collect information on my child/youth's additional caregivers. Yes

Staff and/or representatives of First Parish of Watertown or First Parish in Lexington have my permission to leave a voicemail containing identifying information about my child. Note, by selecting yes you are answering for both caregivers. If you have shared custody you are affirming that you have contacted and have recieved approval from both caregivers.

Yes No

Barbie Movie Night

Description

Please Fix the Following