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HIGH SCHOOL STUDENT MINISTRIES

bentheim student ministries

High School Ministries (HSM) is for students in 9th – 12th grades.

We meet on Sunday nights (September – April) in the youth room, which is located in the church’s lower level. Our goal for our high school ministry would be authentic community – meaning we strive to be a real place where you can explore your faith and grow deeper in your relationship with God – wherever you are/whoever you are. Our meetings vary. We meet in the youth room for worship, games, food, lesson and a chance to connect with a small group of students. We also have special event nights and small group nights. Since our schedule is always changing, please check out our calendar and see what's up.

Faith Seekers is a weekly Sunday morning class for High School students (grades 9 – 12). The students meet immediately after the morning service until 11:30 am.
Faith Seekers is a time for these students to seek a deeper understanding of the core beliefs of the faith and applying them to their everyday life.

Got questions about the Youth Ministry?  Email our Youth Director, Jess Van Zee at jess@bentheim.org or go to… Bentheim Youth Ministries Facebook

High School Ministries
High School Ministry Youth

Student Ministries Parent Consent for Medical Treatment

Bentheim Reformed Church 3997 38th St., Hamilton, MI 49419

Step 1 of 4

25%
Effective dates: September 1, 2023 to August 31, 2024
Please print in ink

Student Info:

Name(Required)
Sex(Required)
MM slash DD slash YYYY
Address(Required)

Parent Info

Mother's Name(Required)
Father's Name(Required)

Medical History

If necessary, describe in detail the nature and severity of any physical and/or psychological ailment, illness, propensity, weakness, limitation, handicap, disability, or condition to which your child is subject and of which the leaders should be aware, and what, if any action of protection is required on account thereof. Submit this notification in writing and attach it to this form. Include names of medications and dosages that must be taken.
Check the following areas of concern for this student. If necessary, add another page with details:
1. For your child’s safety and our knowledge, is your student a⎯(Required)
2. Does your child have allergies to⎯
3. Does your child suffer from, or has ever experienced, or is being treated currently, for any of the following:
5. Does your child wear:
For your information, we expect each student to conform to these rules of conduct
  • No possession or use of alcohol, drugs, or tobacco
  • No students can drive
  • No fighting, weapons, fireworks, lighters, or explosives
  • No offensive or immodest clothing
  • No boys in girls’ sleeping quarters and no girls in boys’ sleeping quarters
  • Participation with the group is expected
  • Respect property
  • Respect one another, staff, and adult leaders
  • Respect and comply with event schedules
Students who fail to comply with these expectations may be sent home at their parents’ expense.
Note: If you desire to limit your child’s participation in any event, please submit your wishes in writing to the church youth pastor prior to that event.
Name of Student(Required)

has my permission to attend all youth activities sponsored by BENTHEIM REFORMED CHURCH (herein after named “Church”) from September 1, 2023 to August 31, 2024.

This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child.

I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/we hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/we consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/we agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledge that we will be ultimately responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/we affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/we also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the student ministries staff member.

Parent/guardian signature(Required)
MM slash DD slash YYYY

Photo Release

Check ONE:(Required)

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3997 – 38th St, Hamilton, MI 49419
(269) 751-5882

Morning Service 9:30am
Evening Service: 5:00pm

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