Protection Covenant - Speedway UMC

Name *

First

Last

Email *

Protection Covenant for Speedway United Methodist Church

I have read the Child, Youth and Vulnerable Adult Protection Policy of Speedway UMC, including the Response/Reporting Procedures. I support and abide by these guidelines fully and completely.

As a volunteer/employee,

Check all that apply.

I agree to observe and abide by all church policies established to protect children, youth and vulnerable adults as I serve in all ministries of the church. *

yes
no

I agree to observe the "two-person rule" at all times. *

yes
no

I agree to observe the "open door policy" at all times. *

yes
no

I have been given a copy of the Child, Youth and Vulnerable Protection Policy. *

yes
no

I understand that it is mandatory that I complete all current and future requirements of the Speedway UMC Child, Youth and Vulnerable Adult Protection Policy and the Indiana requirements for Child Protection. *

yes
no

I am trained and certified in First Aid. *

yes
no

I am trained and certified in CPR. *

yes
no

Upload copy of First Aid/CPR

Click or drag files to this area to upload. You can upload up to 2 files.

Optional: Please upload a copy of your First Aid and/or CPR certificate or card.

By signing below, I hereby verify the information above is true and accurate.

Clear Signature

Date Signed

Protection Covenant for Speedway United Methodist Church

As a volunteer/employee,

Speedway UMC

Worship Times

Casa de Dios

Child Care Ministry