health...

...in order to provide medical assistance for youth at all
activities (even regular weekly activities) and to be
aware of the medical needs/health concerns with youth,
it is required that all youth have a notarized health
waiver on file. notarized health waivers are good from
june 1, 2008 to may 31, 2009.

Health Form
© 2004-05 Countryside United Methodist Church. All Rights Reserved
3221 SW Burlingame Road, Topeka, KS 66611-2006
Phone - 785.266-7541  Fax - 785.266-7747
cumc@countrysideumc.org
A Place to Grow in Christian Faith and Love