Safe Church Policies and Procedures 

West Congregational Church, 

United Church of Christ 

Concord, NH 

   Table of Contents 

  

SUMMARY OF WEST CHURCH POLICIES ……………………………………………………4 

A. INTRODUCTION 5 

A.1 PURPOSE 5 

A.2 SCOPE OF POLICIES AND PROCEDURES 5 

A.3 LOCATION OF POLICIES AND PROCEDURES 5 

A.4 SAFE CHURCH TEAM 5 

B. SAFETY ON CHURCH PROPERTY 6 

B.1 GENERAL 6 

B.2 BUILDING ACCESS 6                                                                                                                                                                                                                                                                                             

B.3 OUTSIDE GROUPS 7 

B.4 JANITORIAL SERVICES 7 

C. SCREENING AND TRAINING 7 

C.1 DEFINITIONS 7 

C.2 VOLUNTEER SCREENING 7 

C.3 CRIMINAL BACKGROUND VERIFICATION 7                                                                                                                                           

C.3.1 POLICIES…………………………………………………………………………………….….7 

C.3.2 PROCEDURES 8 

C4. TRAINING 8 

D. SUNDAY SCHOOL 9 

D.1 SUNDAY SCHOOL POLICIES AND PROCEDURES 9 

D.2 SUNDAY SCHOOL DEFINITIONS 9 

D.3 SUNDAY SCHOOL PROCEDURES 9 

D.3.1 TWO TEACHER POLICIES AND PROCEDURES 9 

D.3.2 REGISTRATION FORMS 9 

D.3.3 ATTENDANCE AND DISMISSAL PROCEDURES 10 

D.3.4 DISCIPLINE 10 

D.3.5 HEALTH AND SAFETY 10 

D.3.6 CONCERN FOR A CHILD’S SAFETY 11 

E. CHILDREN AND YOUTH ACTIVITIES 11 

E.1 CHILDREN AND YOUTH ACTIVITIES POLICIES AND PROCEDURES 11 

E.2 CHILDREN AND YOUTH ACTIVITIES DEFINITIONS 11 

E.3 CHILDREN AND YOUTH ACTIVITIES 11 

E.3.1 TWO ADULT POLICY 12 

E.3.2 FIVE YEAR OLDER POLICY 12 

E.3.3 REGISTRATION, PERMISSION, AND MEDICAL FORMS 12 

E.3.4 OFF-SITE EVENT GUIDELINES 12 

E.3.5 DISCIPLINE 13 

E.3.6. HEALTH AND SAFETY 13 

E.3.7 CONCERN FOR A CHILD'S OR YOUTH’S SAFETY 13 

F. INTERNET SAFETY 13 

F.1 DEFINITIONS 13 

F.2 INTERPERSONAL RELATIONS 14 

F.3 PUBLISHING/POSTING CONTENT ONLINE 14 

G. CHILD ABUSE RESPONSE AND REPORTING 15 

G.1 DEFINITIONS 15 

G.2 RESPONSE AND REPORTING OF CHILD ABUSE 15 

G.2.1 STANDARD FOR REPORTING 15 

G.2.2 PREVENTING IMMINENT HARM 15 

G.2.3 REPORTING PROCESS 15 

G.2.4 PASTORAL STAFF AND SAFE CHURCH TEAM’S ROLES 16 

G.2.5 ALLEGATION AGAINST PASTORAL STAFF 16 

H. ADULT MISCONDUCT – HARRASSMENT AND EXPLOITATION 17 

H.1 DEFINITIONS 17 

H.2 POLICY ON ADULT CONDUCT 17 

        H.2.1 PROCESS FOR RESPONDING TO A CONCERN FOR ADULT OR ELDERLY 

ABUSE OR NEGLECT………………………………………………………………………18 

H.3 PROCESS FOR RESPONDING TO A COMPLAINT OR CONCERN 18 

H.3.1 RESPONSE 18 

H.3.2 FORMAL PROCEEDING 19 

H.4 APPEAL 20 

I. PUBLIC EVENTS SPONSORED BY THE CHURCH 20 

J. SAFE CHURCH POLICIES AND PROCEDURES REVIEW 20 

 

Attachment: 

Section I. Food Handling Practices……………………………………………………………………...21 

 

Forms 

Section B.1 Van Safety Checklist………………………………………...………................................23 

Section C.2 Volunteer Screening Form...……………………………………………………………......24 

Section C.3.2 CHRI Screening Form.………....................…………………….…………….……...… 26 

Section C.4 Policies & Procedures Participant Covenant…….………………..………………..….... 29 

Section D.3.2/E.3.3 C&Y Registration Form…………………….……….……………..…….……...... 30 

Section D.3.5/E.3.6 Incident Report……………….………………………….…...……………….…... 31 

Section E.3.3 Medication Consent…………………………………………………………………….… 32 

Section E.3.3 Offsite Trip Permission…………...…………………………….…….…….…….…...…. 33 

Section F.3 Media Release……………………………….…………………………….……….……….. 34 

Section B.3 Facility Use Form………………………………………………………………................... 35 

 

 

 

 

 

Page Break 

Summary: West Congregational Safe Church Policies 

As the Body of Christ, West Congregational Church, Inc. (hereafter referred to as “West Church”) we are morally called to ensure the safety of those individuals who are within the scope of our ministry. The policies and procedures included in this document apply to all activities which take place within the building and properties of West Church, as well as programs, activities, or events scheduled as part of the ministry of this church which take place elsewhere. The policies and procedures apply to all members, friends, volunteers, renters and employees of the church.  

For each policy listed in this section, the corresponding set of procedures will be indicated in parenthesis like this: (Section A).  Please refer to the procedures section of this manual to find detailed information related to each policy. 

West Church welcomes volunteers to become involved in the programs offered as part of our ministries. For those volunteers who work with youth and children, volunteers should generally be 18 or older and have been active within the church for the previous twelve (12) months or a member of the church for six (6) months, subject to the discretion of the pastor. These volunteers will also be responsible for completing a Volunteer Screening Form and will be subject to a criminal background check. (Section C) 

West Church is committed to creating a safe and healthy environment in which children and youth from nursery to grade 12 can learn about and experience God’s love. Therefore, we provide supervision for all ministries and activities and programs involving children and youth. We will employ practices that provide for the safety of children and youth those who care for them. This policy will be placed in the hands of parents.  (Section D and Section E) 

Through our Safe Church Policies and educational programs, we seek to prevent abuse occurring at West Church. Allegations or reasonable suspicions of abuse will be responded to seriously and reported to appropriate church and state authorities. All the actions and documentation must be held in the strictest confidence and as such, as few people as possible are informed. It is the responsibility of all concerned to maintain confidentiality. Sometimes, people are unsure if a situation is abusive. Even if you're in doubt, call the NH Department of Health and Human Services Division for Children, Youth and Families (DCYF) at 1-800-894-5533 and tell the Pastor. DCYF has extensive experience in child protection. DCYF may find no abuse or neglect has taken place but may still offer assistance to the family. To protect children, any circumstance of abuse that poses imminent risk of serious harm will be reported to the Police Department or 911. Because of the vulnerability of children, their right to our protection supersedes a counselee’s right to confidentiality. Any person raising a concern of abuse should contact the West Church pastor, or the Chair, Board of Christian Education.  (Section G)   

West Church UCC wishes to create and maintain a community in which members, friends, staff, and volunteers can worship and work together in an atmosphere free of all forms of discrimination, harassment, exploitation, or intimidation. The Church is strongly opposed to sexual exploitation and harassment of any kind, and such behavior is prohibited. It is the intention of the church to respond to allegations of behavior that are contrary to this policy and, if necessary, to discipline those persons who violate it and/or report it to the appropriate authorities. Every individual always has the right to report allegations to local authorities.  

All persons engaged in the ministry of West Church UCC (including elected or appointed leaders, employees, volunteers, and authorized ministers) are responsible for knowing the possible impact of their words and actions in ministering to the emotional, mental, and spiritual needs of persons who come to them for help or over whom they have any kind of authority. Sexual exploitation of parishioner(s) or other individual(s) by anyone engaged in the ministry of West Church is unethical and unprofessional behavior and will not be tolerated. Should someone observe that a vulnerable adult is being abused, harassed or exploited, a concerned member may initiate proceedings on their behalf by calling the Bureau of Elderly & Adult Services (BEA) at 1-800-949-0470. (Section H) 

The Church hosts and sponsors special events to carry out its mission. Church family members of all ages are encouraged to volunteer for special events. Each event will include a safety review to promote safe practices to protect volunteers and the public. (Section I) 

This policy shall be effective as of the date of West Church Council approval. 

A. INTRODUCTION  

A.1 PURPOSE  

As the Body of Christ, West Congregational Church, Inc. (hereafter referred to as “West Church”) we are morally called to ensure the safety of those individuals who are within the scope of our ministry. 

A.2 SCOPE OF POLICIES AND PROCEDURES  

The policies and procedures included in this document apply to all activities which take place within the building and properties of West Church, as well as programs, activities, or events scheduled as part of the ministry of this church which take place elsewhere. The policies and procedures apply to all members, friends, volunteers, renters and employees of the church.  

A.3 LOCATION OF POLICIES AND PROCEDURES  

A Safe Church Policies and Procedures Manual is provided to each new employee. All volunteers who will be regularly working with children, youth, or vulnerable adults will review the manual. Manuals are located in identifiable binders in the following locations:  

1. On the kitchen counter in Tenney-Roper Hall. 

  

2. On the mailboxes in the Clara Cleveland Room of Johnson Hall. 

3. The Pastor’s Office 

4. On the website: http://westcongr.org/ 

A.4 SAFE CHURCH TEAM 

The Safe Church team’s function is to oversee the implementation of the Safe Church Policies and Procedures. This team will be comprised of the pastor plus a minimum of three people appointed by the West Church Council and shall include at least one other member of the Council.  

The Safe Church Team will:  

• Review and update Safe Church Policies and Procedures every two years, or more often if needed. The Team will signify that the review has occurred by signing off on the document. Whether or not changes are made, the document will be presented to the Church Council for approval. 

• Oversee distribution of Safe Church Policies and Procedures 

• When necessary, serve on a task force to review formal complaints on adult misconduct. (See Section H). 

• Oversee the completion of Criminal Background Check Authorization Forms.  

• Verify that CHRI Reports, Incident Reports and other documents are stored in a safe and secure location in the Pastor’s Office. 

• Maintain strict confidentiality. 

B. SAFETY ON CHURCH PROPERTY 

It is the responsibility of West Church Trustees to maintain physical safety of all church property. Church property includes both buildings and the church van. 

B.1 GENERAL  

West Church will:  

• Maintain the church property to preserve physical safety.  

• Maintain the fire alarm system, fire extinguishers and first aid kits.  

• Create and post floor plans indicating emergency exits, fire extinguishers, first aid kits, fire pull stations, telephones and emergency phone numbers.  

• Provide users of any church property with a mechanism to report any safety issues to the Trustees.  

• Post and follow health department guidelines for food preparation.  

• Provide a diapering station that has a flat, sturdy surface installed at adult height. The surface will be sanitized, waterproof, and free of cracks, tape, and crevices.  

• Provide a Van Safety Checklist to van drivers to ensure the safety of individuals being transported. The safety checklist will be completed each time the van is used and will be maintained in the van. 

B.2 BUILDING ACCESS  

The Trustees have charged the Building Coordinator with the responsibility of determining the need to assign keys, determining to whom keys will be issued, maintaining a policy for the length of time to hold a key, and maintaining a log of key holders. Care will be taken to secure entrances to the church buildings by limiting access to appropriate individuals. 

B.3 OUTSIDE GROUPS  

On an annual basis, all outside groups who rent or use the church facilities will receive a copy of the Safe Church Policies and Procedures and complete the Facility Use Form. By signing the Facility Use Form, the group agrees to comply with the Safe Church Policies and Procedures. 

B.4 JANITORIAL SERVICES 

Outside groups are expected to clean up after themselves. 

The West Church Trustees are responsible for overseeing janitorial services for both buildings. 

The Child Care Provider staff person is responsible for the cleaning of the Child Care Area in Tenney-Roper Hall. 

C. SCREENING AND TRAINING  

C.1 DEFINITIONS  

Criminal History Record Information (CHRI): Criminal conviction information of persons within the New Hampshire Court System. Regulated by the New Hampshire Department of Safety Support Services Bureau Criminal Records Unit and maintained by the NH State Police.  

Staff or paid employee: Any individual hired and compensated by West Church on a part-time, full-time, permanent or temporary basis.  

C.2 VOLUNTEER SCREENING  

West Church welcomes volunteers to become involved in the programs offered as part of our ministries.  

For those volunteers who work with youth and children, volunteers should generally be 18 or older and have been active within the church for the previous twelve (12) months or a member of the church for six (6) months, subject to the discretion of the pastor. These volunteers will also be responsible for completing a Volunteer Screening Form and will be subject to a criminal background check.   

C.3 CRIMINAL BACKGROUND VERIFICATION  

C.3.1 POLICIES  

West Church uses the New Hampshire CHRI verification process and may also use a national criminal background verification service selected by the Safe Church Team.  

West Church requires a CHRI Report every three (3) years for all current and prospective: 

• Employees  

• Youth Group adult leaders and Sunday School teachers 

• Infant Care Volunteers  

• Volunteers who supervise youth or children in any capacity  

Anyone convicted of any felony or a felony default by the court, with child or elder abuse, whether physical, emotional, or sexual, will not be considered, under any circumstances, for a position at West Church.  

C.3.2 PROCEDURES  

The overseeing board will provide CHRI Screening Forms to prospective and current employees and volunteers and turn them in to the pastor. The pastor will submit CHRI Screening Forms and receive CHRI Reports. The Safe Church Team will review the reports to determine the hireability of the applicants. The determination will be returned to the requesting board. All attempts will be made to maintain confidentiality.  

The moderator will submit and receive the CHRI Screening Form and Report for the pastor’s background check, and convey the status of the CHRI Report to the church council. 

All reports are maintained in a secure/locked location in the pastor’s office. CHRI Reports are to be repeated every three years.  

C4. TRAINING  

All staff members, teachers, and youth leaders who work with youth and children will receive training on the Safe Church Policies and Procedures. Each will be given a copy of the Safe Church Policies and Procedures to review and given an opportunity to ask questions.  

Training procedures:  

• Training sessions will be offered twice per year at the beginning of the church school year and following the West Church annual meeting. Individual training sessions will be held as needed. Individuals are required to attend a training every three years to coincide with background checks. 

• Attendance sheets of who has received training will be kept in the Safe Church file in the pastor’s office.  

• Training attendees will sign a Policies & Procedures Participation Covenant that will be kept on file with the Safe Church Team. 

• Employees will review the Safe Church Policies and Procedures prior to starting their position. 

• Newly appointed Board Chairs will receive training on the Safe Church Policies and Procedures, as well as guidance on how to share this information with board and committee members under their purview.   

• Training will be required every three years. 

D. SUNDAY SCHOOL  

D.1 SUNDAY SCHOOL POLICIES AND PROCEDURES  

West Church is committed to creating a safe and healthy environment in which children and youth from nursery to grade 12 can learn about and experience God’s love. Therefore we provide supervision for all activities and programs involving children and youth. We will employ practices that provide for the safety of children and those who care for them.  

D.2 SUNDAY SCHOOL DEFINITIONS  

Aide: a volunteer who functions in a non-supervisory role in one of the Sunday school classrooms or nursery/toddler room in the presence of an approved teacher or caregiver. Aides generally should be at least 14 years of age.  

Nursery/Toddler Caregiver: An employee or volunteer who supervises activities in the nursery/toddler rooms. The caregiver must be at least 18 years of age.  

Teacher: a volunteer who leads classroom activities. Teachers must be at least 18 years of age.  

One-time Volunteer: someone who helps with a trip or event but has not committed to a regular role such as aide or teacher.  

Generally, all volunteers must be a member of West Church UCC for six (6) months or active in the church community for at least twelve (12) months, subject to the discretion of the pastor.  

D.3 SUNDAY SCHOOL PROCEDURES  

D.3.1 TWO TEACHER POLICIES AND PROCEDURES  

Each class should have at least two teachers or a teacher and an aide. If a second teacher or aide is not available, the teacher may:  

Hold class in a public space on church grounds. 

Combine the class with another Sunday School class. 

D.3.2 REGISTRATION FORMS  

The CE Chair will ensure that the parents or guardians of all children participating in the Sunday School program to complete a Child and Youth Registration Form for each child. The registration form includes contact information and information regarding allergies or any other relevant medical concerns. This information will be included in the classroom attendance sheet. 

D.3.3 ATTENDANCE AND DISMISSAL PROCEDURES  

Children are dismissed from the Sanctuary to Church school after the “Children’s time” portion of the service. 

On Communion Sundays, children will return to the worship service for communion. 

Attendance will be taken at each class.  

Parents are expected to pick up their children after class. If the child arrives with an adult other than a parent, the child may be picked up by the same individual. 

D.3.4 DISCIPLINE  

The purpose of discipline is to maintain order in a manner consistent with the teaching responsibility, respect and cooperation.  

Teachers are expected to clearly and respectfully communicate expectations of appropriate behavior to their class at the beginning of each school year and on a periodic basis throughout the Sunday school year. In addition, a covenant of conduct including class expectations may be posted in each classroom.  

If a child’s behavior is disruptive, the teacher is instructed to address the issue with the child directly. Should the behavior be repeated, the teacher will contact the parents/guardians/CE Chair as necessary and inform the pastor.  

No child will be disciplined by the use of any form of physical punishment or verbal abuse.  

D.3.5 HEALTH AND SAFETY  

• A first aid kit is available in the lower hallway of Johnson Hall, and the kitchens. and a telephone is available in the kitchens. 

• Fire safety information, emergency evacuation routes and meeting place will be clearly posted in every classroom, along with emergency numbers for the church, police and fire departments.  

• Emergency procedures, including evacuation plans, will be reviewed at each teacher orientation.  

• Incident Report Forms are found in each classroom attendance clipboard and in the CE mail slot and should be filled out when necessary. Forms are filed with the pastor and given to the parents as warranted.  

• If there is a medical emergency, the parents should be found immediately, the CE Chair contacted, and 911 called as warranted. 

• The importance of hand washing before handling food, toileting, and after any cleanup is emphasized.  

• Student allergies are listed on the attendance sheets and registration forms and must be consulted prior to offering snacks/food to students.  

D.3.6 CONCERN FOR A CHILD’S SAFETY 

If in the context of a class or other event, a child discloses information that raises concern about his or her safety, the incident should be discussed promptly with the pastor to clarify and determine an appropriate level of response. See Section G. 

E. CHILDREN AND YOUTH ACTIVITIES  

E.1 CHILDREN AND YOUTH ACTIVITIES POLICIES  

West Church is committed to creating a safe and healthy environment in which young people can learn about and experience God’s love. Therefore, we will provide supervision for all ministries and activities involving children and youth, and employ practices that provide for the safety of all youth participants as well as teachers, leaders or helpers who serve in these ministries.  

E.2 CHILDREN AND YOUTH ACTIVITIES DEFINITIONS  

West Church Youth Group: a fellowship, worship, and service program for middle, junior, and high school students.  

Chaperone/Driver: A volunteer who helps supervise / transport children and youth for a special activity. To be a chaperone, an individual must be at least 21 years of age and have an insured automobile, valid driver’s license and be an approved volunteer.  

Helper, Assistant: A volunteer worker for regular children and youth activities who functions in a non-supervisory role (e.g. high school student who helps in Middle Youth Group.) Helpers function under the supervision of the leader or teacher and should be at least 3 years older than the oldest youth participating in the program.  

One-time Volunteer: an adult who helps with an event (trip, retreat) but has not committed to regularly helping with youth activities  

Teacher, Leader: A paid or volunteer adult worker who has direct responsibility for the care of children and  youth under their supervision. Must be at least 18 years old and at least five years older than the oldest child or youth. 

Off-Site Event: A youth event requiring transportation that is scheduled off West Church property and may or may not include an overnight (e.g. bowling, mission trip, retreat). 

Adult volunteers must be at least 18 years old and at least five years older than the oldest child or youth, and have been a member of West Church for six months or part of the church community for at least 12 months. 

E.3 CHILDREN AND YOUTH ACTIVITIES PROCEDURES  

E.3.1 TWO ADULT POLICY  

The Two Adult Policy is intended to protect youth and prevent adults from encountering a situation where they could be wrongfully accused. To fulfill this policy, at least two adults, who are unrelated, must lead or chaperone a child or youth activity.  

It is recommended that there be a ratio of one adult for every six children or youth at all child and youth programs or activities. If these ratios are unable to be met, the youth activity will be canceled.  

No adult should be alone in the church or at a church-approved activity with a child or youth that is not related to him or her. At least two chaperones should wait with youth being picked up after an offsite event. 

It is permissible to have one adult per car carrying youth to an off-site event, but at no time should an adult be alone with a child other than his/her own. Two children and one adult in a vehicle is appropriate.  

There may be times within the confirmation program when one adult may suffice with prior discussion and agreement between parent, mentor, confirmand and pastor. 

E.3.2 FIVE YEAR OLDER POLICY  

All leaders and teachers for youth activities or off site events must be at least 18 years old and at least five years older than the oldest child or youth. 

All chaperones/drivers for youth activities or off site events must be at least 21 years old and at least five years older than the oldest child or youth. 

E.3.3 REGISTRATION, PERMISSION, AND MEDICAL FORMS  

All children and youth participating in activities programs must have a Child and Youth Registration Form and Medication Consent Form on file. These forms will be kept on file with the church for one year from date of signature. Completed forms will be brought on all child and youth off site events by the adult leaders. A West Church Offsite Trip Permission Form will be filled out and handed in for each and every offsite day and overnight.  

E.3.4 OFF-SITE EVENT GUIDELINES  

1. Parents or guardians and participating children and youth shall be given information ahead of time about programs, activities, leaders, chaperones, dates, times, cost, method of transportation, purpose of the scheduled trip or activity and other details whenever possible.  

2. All occupants of a vehicle must use an individual seat belt (no multiple belting) at all times during the operation of the vehicle.  

3. In accordance with NH State Law, no cell phone use while driving. In case of emergency, driver should first pull off the roadway to a safe spot.  

4. Appropriate supervision: The two adult policies and procedures applies for all church events including those held off-site. On an overnight trip there will be at least two chaperones determined by the gender of the group. For mixed groups, there will be at least one male and one female chaperone.  

E.3.5 DISCIPLINE  

All participants are expected to act in a respectful manner toward all others participating in a child or youth activity. The purpose of discipline is to maintain order in a manner consistent with the teaching of Christian responsibility, respect and cooperation. No child or youth will be disciplined by use of any form of physical punishment or verbal abuse.  

Mutual respect in communication between children, youth, leaders, teachers and chaperones is expected. Appropriate behavioral expectations will be clearly communicated.  

Disruptive, disrespectful, or dangerous behavior will be addressed by the leader, teacher or chaperone in charge. If this behavior occurs on a trip or at a meeting, the leader reserves the right to contact the parent/guardian and send the child or youth home at the parents’/guardians’ expense.  

Adult volunteers must report all infractions to the pastor and adult leader of the group.  

E.3.6. HEALTH AND SAFETY  

Incident Report Forms should be filled out when necessary. Forms are filed with the pastor and given to the parents as warranted.  

If there is a medical emergency, the parents and the pastor should be contacted and 911 called as warranted.  

The importance of hand washing before handling food, after toileting and after any cleanup is emphasized.  

E.3.7 CONCERN FOR A CHILD’S OR YOUTH’S SAFETY  

If in the context of a class or other event, a child or youth discloses information that raises concern about his or her safety, the incident should be discussed promptly with the pastor to clarify and determine an appropriate level of response. All reasonable suspicions of child abuse MUST be reported to the proper authorities. 

F. INTERNET SAFETY  

The internet and social media are evolving tools which offer great promise for developing and deepening ministries but also pose significant safety challenges. 

F.1 DEFINITIONS  

Church Sponsored Sites — any group, page or list-serve that is created by a designated member of West Church for the purpose of establishing maintaining or growing ministries to and with youth and/or adults.  

Inappropriate Content — refers both to content that is improper or offensive, but also content that might be suited to the medium but not to the relationship.  

F.2 INTERPERSONAL RELATIONS 

1. Adults should not submit “friend” requests to minors or youth. Youth may request friendships with adults, and adults should discern the level of contact they want to maintain with youth prior to responding to these requests. It is strongly advised that adults not accept youth requests as well. 

2. All youth and adults should be informed that any communication that is sent via digital means (email, social networking site notes or posts, texts, etc.) is not confidential and may be reported or shared with others.  

3. Adults should archive or save all email correspondence with youth.  

4. We strongly recommend “closed” but not “hidden” groups be used for youth groups. These groups should have both youth and adult administrators.  

5. The pastor and other leaders who work directly with youth are encouraged to use church sponsored digital communications groups to maintain contact with youth members.  

6. Members of youth groups should decide within their covenant whether or not their social networking site groups are open to parents of current members as long as adults are monitoring this activity. 

7. Covenants should be created to govern what is appropriate and inappropriate content to be placed and displayed in the online group for youth groups.  

8. Adult leaders are not responsible for internet youth pages that are not sponsored by West Church.  

9. Those who seek religious or spiritual advice from the pastor via digital means (email, social networking site posts, etc.) should be informed that their communication is NOT confidential. Use of digital means to communicate nullifies confidentiality.  

F.3 PUBLISHING/POSTING CONTENT ONLINE 

1. Secure signed Media Release Forms from parents/guardians of minors who may participate in activities that may be photographed or videoed for distribution. 

2. When video is distributed of services or activities on the web or via other broadcast media, signs should be posted that indicate the service will be broadcast.  

3. Photos that are published on church sponsored sites should not include name or contact information for individuals unless otherwise requested.  

G. CHILD ABUSE RESPONSE AND REPORTING  

Through our Safe Church Policies and educational programs, we seek to prevent abuse occurring at West Church. Allegations or reasonable suspicions of abuse will be responded to seriously and reported to appropriate church and state authorities. All the actions and documentation described below must be held in the strictest confidence and as such, as few people as possible are informed. It is the responsibility of all concerned to maintain confidentiality. Procedures are set so as to assure confidentiality. 

G.1 DEFINITIONS  

Child: A person under the age of 18.  

Pastor: Submits and receives CHRI forms. The Pastor will consult the Safe Church Team (See Section A.4) when there are concerns.  

Division of Children and Families (DCYF): The New Hampshire Division of Children and Families (DCYF) manages child abuse and neglect reports.  

Incident Report: a written report of any unusual occurrence at West Church.  

Mandated Reporter: A person who, by virtue of his/her profession or position, is required by law to report all reasonable suspicions of child abuse. Church mandated reporters include: the pastor, persons performing duties on behalf of the church (e.g. Deacons, Sunday School Teachers), church employees or volunteers who supervise, educate, coach, train or counsel children on a regular basis (Children, Youth, and Music teachers, leaders, and chaperones).  

Moderator: The Lay Leader of West Church and the presiding officer for all meetings of the Church Council.  

Church Council: The governing body of the church which includes the Pastor, Moderator, Treasurer, Financial Secretary, Clerk, Vice Moderator and chairpersons of the church boards.  

G.2 RESPONSE AND REPORTING OF CHILD ABUSE  

G.2.1 STANDARD FOR REPORTING  

Sometimes, people are unsure if a situation is abusive. Even if you're in doubt, call. DCYF has extensive experience in child protection. DCYF may find no abuse or neglect has taken place but may still offer assistance to the family.  

G.2.2 PREVENTING IMMINENT HARM  

To protect children, any circumstance of abuse that poses imminent risk of serious harm will be reported to the Police Department or 911. Because of the vulnerability of children, their right to our protection supersedes a counselee’s right to confidentiality.  

G.2.3 REPORTING PROCESS  

If in the context of a class or other event, a child discloses information or an adult otherwise has a reasonable cause to believe that a child is not safe, the incident should be discussed promptly with the pastor to clarify and determine an appropriate level of response.  

Incident Reports are required for all unusual occurrences at West Church. They must be submitted to the pastor. If unable to be submitted to the pastor, the form must be submitted to the moderator. This filing must be done even if it is determined that an oral or written report will not be filed with DCYF. These forms will be stored in a secure and confidential location.  

The Division of Children, Youth and Families (DCYF) is the New Hampshire agency with responsibility for protecting children from child abuse and neglect. No one is prohibited from making a report directly to DCYF, and may do so as either an identified or anonymous reporter. Reporters can file anonymously by calling 1-800-894-5533 or 603-271-6562. For more information see  http://www.dhhs.state.nh.us/dcyf/cps/stop.htm. If outside normal working hours, contact the local police department. 

  

An oral / telephone report to the New Hampshire Division of Children and Families (DCYF) will be made within 24 hours as recommended. Written reports will be completed within 48 hours as required by New Hampshire law. Mandated reporters who fail to report suspected child abuse may be subject to criminal prosecution.  

When you contact DCYF you'll be asked for some information. You may not have all the answers. It would be helpful if you can provide the following: 

  • The name, address, sex, and estimated age of the child and any other children at the home  

  • The names, addresses, and telephone numbers of the adults who are responsible for the child  

  • The full nature and extent of the child's injuries, maltreatment, or neglect  

  • Any information about previous injuries, abuse, maltreatment or neglect 

  • How great a risk you believe this may be to the child 

  • How you learned of this situation 

  • Any action that has been taken to treat or assist the child 

  • Family’s strengths and resources 

  • Any other information that could be helpful in determining the cause of the injuries 

  • A written report may be requested by DCYF within 48 hours.  

 G.2.4 PASTOR AND SAFE CHURCH TEAM’S ROLES  

Any person raising a concern of abuse should contact the West Church pastor, or the Church Moderator. The role of the pastor is to receive the allegation, provide leadership and to guide the reporter through the Division of Children and Families (DCYF) contact process. Investigation and evaluation of concerns of abuse is the role and obligation of DCYF and not the reporter, pastor, or the Safe Church Team.  

G.2.5 ALLEGATION AGAINST PASTORAL STAFF  

If there is an allegation against the pastoral staff, the moderator will contact the Conference Minister or Associate Conference Minister of the New Hampshire Conference, United Church of Christ and the Committee on Church and Ministry. The church will seek the council of the Committee on Church and Ministry regarding action to be taken.  

H. ADULT MISCONDUCT – HARRASSMENT AND EXPLOITATION  

West Church is dedicated to maintaining a community in which members, friends, staff, and volunteers can worship and work together in an atmosphere free of all forms of discrimination, harassment, exploitation, or intimidation.  

H.1 DEFINITIONS  

Harassment: repeated misconduct, whether verbal or physical, that creates an environment that is uncomfortable, unwelcoming, discriminating, or intimidating, or leads to an atmosphere in which a person's ability to participate in worship and activities at the church is compromised.  

Sexual exploitation: activity or conduct of a sexualized nature in which an employed pastor engaged in the work of the church takes advantage of the vulnerability of a participant by causing or allowing the participant to engage in sexual behavior with the pastor.  

Sexual harassment: repeated or coercive sexual advances toward another person contrary to his or her wishes. It includes behavior directed at another person's sexuality or sexual orientation with the intent of intimidating, humiliating, or embarrassing the other person, or subjecting the person to public discrimination. Prohibited sexual harassment includes unsolicited and unwelcome contact that has sexual overtones. Sexual harassment also includes continuing to express sexual interest after being informed directly that the interest is unwelcome – and using sexualized behavior to control, influence, or affect the career, salary, work, learning, or worship environment of another.  

Vulnerable adult: Any person aged 18 or over who is or may be in need of assistance by reason of physical or mental disability, age, or emotional illness, and who is unable to take care of or to protect him or herself against significant harm or serious exploitation which may be occasioned by the actions or inactions of other people.  

H.2 POLICY ON ADULT CONDUCT  

West Church is strongly opposed to sexual exploitation and harassment of any kind, and such behavior is prohibited. It is the intention of the church to respond to allegations of behavior that are contrary to this policy and, if necessary, to discipline those persons who violate it and/or report it to the appropriate authorities. Every individual always has the right to report allegations to local authorities.  

All persons engaged in the ministry of West Church (including elected or appointed leaders, employees, volunteers, and authorized ministers) are responsible for knowing the possible impact of their words and actions in ministering to the emotional, mental, and spiritual needs of persons who come to them for help or over whom they have any kind of authority. Sexual exploitation of parishioner(s) or other individual(s) by anyone engaged in the ministry of West Church is unethical and unprofessional behavior and will not be tolerated.  

Should someone observe that a vulnerable adult is being abused, harassed or exploited, a concerned member must initiate proceedings on their behalf. The Adult Protection Law requires any person who has a reason to believe that an incapacitated adult has been subjected to abuse, neglect, exploitation or self-neglect to make a report immediately to the Bureau of Elderly & Adult Services (BEAS). Call (603) 271-7014 or toll Free from within NH at (800) 949-0470, http://www.dhhs.nh.gov/dcbcs/beas/

 H.2.1 PROCESS FOR REPORTING ADULT AND ELDERLY ABUSE 

The responsibility to receive and investigate reports of suspected abuse, neglect, exploitation or self-neglect of incapacitated adults under NH's Adult Protection Law, is determined based on an incapacitated adult's living arrangement or situation, as outlined below: 

  • An adult is defined as living in an independent living situation if that person lives in their own home or apartment, the home or apartment of friends or relatives, a boarding home, or there is no fixed address. For these situations, the report should be made to the local Bureau of Elderly & Adult Services District Office. 

  • The Office of the Long-Term Care Ombudsman http://www.dhhs.nh.gov/oltco/index.htm is responsible to receive initial reports involving incapacitated adults who are residents of nursing facilities or assisted living facilities. Use this Facility Initial Report Transmittal Form http://www.dhhs.nh.gov/dcbcs/beas/documents/facility.pdf  When submitting a facility report. 

  • A central Adult Protective Services (APS) unit in the BEAS Central Office receives and investigates reports involving incapacitated adults who live in or are participating in homes/programs administered by or affiliated with the DHHS Bureaus of Behavioral Health and Developmental Services. 

  • The central APS unit is also responsible to receive and investigate reports involving incapacitated adults who are suspected to have been abused, neglected or exploited in their own homes by individuals paid to provide care, or while receiving care in a community, general or specialized hospital, rehabilitation center or other treatment center. 

Make a Report 

  • If you suspect abuse, neglect, self-neglect or exploitation you must call BEAS. 

  • Proof of abuse or neglect is not required to make a report. 

  • Reports are confidential and can be anonymous. 

  • The Adult Protection Law does not allow BEAS to release your personal information to anyone unless you agree or a court orders BEAS to do so.  

When you contact BEAS, you will be asked for some information. You may not have all the answers. Just tell them what you know regarding: 

  • The name, address, telephone number, sex, and estimated age of the incapacitated adult. 

  • The name, address and phone number of a guardian or someone who is legally responsible for the individual. 

H.3 PROCESS FOR RESPONDING TO A COMPLAINT OR CONCERN  

The utmost respect shall be given to the confidentiality and privacy of all parties. Any person who brings a concern or complaint forward, or who assists in investigation of such a report, will not be adversely affected in terms and conditions of employment or church membership, or otherwise discriminated against or discharged. Information will be shared only on a need-to-know basis.  

H.3.1 RESPONSE  

1. Informal - The person with a concern may attempt to resolve the matter directly with the person accused. Alternatively, the person with a concern may attempt to resolve the matter with the assistance of the moderator or the West Church pastor. 

2. Formal - If an informal resolution of the complaint does not seem wise, appropriate, or possible, or if an informal resolution does not succeed, the person with a concern should complete an Incident Report form and submit it to the Moderator or West Church pastor. This will lead to a formal proceeding. If the allegation involves the pastor, the person with a concern should contact the moderator or a member of the Pastoral Relations Committee.  

H.3.2 FORMAL PROCEEDING  

When a formal proceeding is requested, the following procedure will happen:  

1. A task force will be convened.  

• If the allegation involves the Pastor, the task force will be comprised of the Moderator, and the Safe Church Team. The Moderator will inform the Conference Minister of the New Hampshire Conference, United Church of Christ. West Church will cooperate fully in any Conference or Association procedures related to the person's ministerial authorization.  

• If the allegation involves another authorized UCC minister, the task force will be comprised of the Pastor, Moderator, and Safe Church Team. The Pastor will inform the Associate Conference Minister of the New Hampshire Conference, United Church of Christ. West Church will cooperate fully in any Conference or Association procedures related to the person's ministerial authorization.  

• If the allegation involves another West Church staff member, the task force will be comprised of the Pastor, Moderator, the Safe Church Team, and Chair of the staff member’s supervisory board. 

• If the allegation involves a lay person the task force will be comprised of the Pastor, Moderator, and the Safe Church Team.  

2. The person accused will be notified that an incident report form has been filed by the task force.  

3. Statements will be gathered from individuals involved.  

4. The task force will carefully document all activities and meetings and include dates, times, locations, names of the parties present, any decisions, and any further action to be taken. This documentation is to be kept in a secure location determined by the Safe Church Team.  

5. The task force will consider all information and determine an appropriate course of action.  

6. If the task force determines that no harassment or sexual exploitation has occurred, all affected parties will be notified.  

7. If the task force determines that harassment or sexual exploitation has occurred, the task force will inform the individuals and take actions that may include:  

• Formal reprimand with defined expectations for changed behavior;  

• Recommending or requiring a program of growth that may include education and/or counseling;  

• Probation, with the terms of the probation clearly identified;  

• Dismissal from volunteer leadership position or employment and, in extreme cases, membership in the church.  

• If the action violates the law, a police report will be submitted.  

H.4 APPEAL  

If the person(s) involved is not satisfied with the disposition of the matter, he or she has the right to appeal to the Church Council. 

I. PUBLIC EVENTS SPONSORED BY THE CHURCH  

The Church hosts and sponsors special events to carry out its mission. Church family members of all ages are encouraged to volunteer for special events. Each event will include a safety review to promote safe practices to protect volunteers and the public. The following should be part of all event planning. 

  1. Accepted safe food handling practices. See Attachment. 

  1. Reviewing with the volunteers a complete understanding of the following: 

•   Safe food handling practices, including hand washing and use of gloves where recommended.  

•   Safe serving procedures, particularly taking extra care when serving hot items. 

•   Everyone under seventeen (17) years of age should be gathered in advance to review restricted areas or tasks.  

  • Youth under thirteen (13) years old may only work under the supervision of a parent, grandparent or guardian.  

  • In the dining area, they are restricted to serving cold food and beverages, warm dry foods (e.g. rolls) and other foods of a temperature that would not cause injury to volunteers or customers.  

  • In the kitchen they may only help prepare unheated deserts such as jello, pre-cut brownies, and ice cream or pour cold drinks such as soda.  

 •   Youth thirteen to seventeen (13-17) may work in that part of the kitchen that is not related to food being prepared or served from ovens, ranges or coffee makers. They may pass serving dishes through a window or rinse or wipe dishes. They may serve or bus in the dining area. 

•   At no time should youth be asked to volunteer for more than 3 hours at a special event, unless specifically approved by the Council for a specific date or series of dates. 

J. SAFE CHURCH POLICIES AND PROCEDURES REVIEW  

The Safe Church Policies and Procedures will be reviewed by the Safe Church Team every three years or more often as needed. The Team may recommend revisions to be approved by the Church Council.  

Adopted by: West Congregational Church, Inc. Council June 25,2019. 

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Enclosure I. Food Handling Practices 

7 Food Safety Steps for Successful Community Meals 

Whether preparing food for a family reunion or a community gathering, people who are great cooks at home don't necessarily know how to safely prepare and store large quantities of food for large groups. Food that is mishandled can cause foodborne illness. However, by following some simple steps, volunteer cooks can make the event safe and successful! 

1. Plan Ahead — Make sure the location meets your needs. 

  • Be sure you have enough oven, stovetop, refrigerator, freezer, and work space. 

  • Find out if there's a source of clean water. If not, bring water for preparation and cleaning. 

2. Store & Prepare Food Safely 

  • Refrigerate or freeze perishable food within 2 hours of shopping or preparing; 1 hour when the temperature is above 90 °F. 

  • Find separate preparation areas in the work space for raw and cooked food. 

  • Never place cooked food back on the same plate or cutting board that held raw food. 

  • Wash cutting boards, dishes, utensils, and work surfaces frequently with hot, soapy water. 

  • Wash hands with soap and warm water for at least 20 seconds before and after handling food and after using the bathroom, changing diapers, or handling pets. 

3. Cook Food to Safe Minimum Internal Temperatures — It's the only way to tell if harmful bacteria are destroyed! 

  • Use a food thermometer to check the internal temperature of meat, poultry, casseroles, and other food. Check temperature in several places to be sure food is cooked to a safe minimum internal temperature. 

  • Never partially cook food for finishing later because you increase the risk of bacterial growth. 

4. Transport Food Safely — Keep hot food HOT. Keep cold food COLD. 

  • Keep hot food at or above 140 °F. Wrap well and place in an insulated container. 

  • Keep cold food at or below 40 °F. Place in a cooler with a cold source such as ice or frozen gel packs. 

5. Need to Reheat? Food must be hot and steamy for serving. Just "warmed up" is not good enough. 

  • Use the stove, oven, or microwave to reheat food to 165 °F. Bring sauces, soups, and gravies to a boil. 

6. Keep Food Out of the "Danger Zone" (40-140 °F). 

  • Keep hot food hot - at or above 140 °F. Place cooked food in chafing dishes, preheated steam tables, warming trays, and/or slow cookers. 

  • Keep cold food cold — at or below 40 °F. Place food in containers on ice. 

7. When In Doubt, Throw it Out! 

  • Discard food left out at room temperature for more than 2 hours; 1 hour when the temperature is above 90 °F. 

  • Place leftovers in shallow containers. Refrigerate or freeze immediately. 

Be Food Safe! Prepare with Care 

  • CLEAN. Wash hands, utensils, and surfaces often. 

  • SEPARATE. Don't cross-contaminate. 

  • COOK. Use a food thermometer. 

  • CHILL. Chill food promptly. 

 
 

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Form B.1 Van Safety Checklist 

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Form C.2 Volunteer Screening Form 

West Congregational Church, UCC 

Volunteer Screening Form 

NAME: LAST  FIRST  MIDDLE  

ADDRESS: STREET  CITY/STATE  ZIP CODE  

DAYTIME PHONE  EVENING PHONE  EMAIL  

References: One reference should be related to you and the other references should not be related to you.  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

I have been a member of this church since _____________________________________________  

I have been a friend of this church since _______________________________________________  

I have never been convicted of, nor pled guilty or no contest to, a crime. (Exclude convictions that have been sealed, expunged or legally eradicated, misdemeanor convictions for which probation was completed and the case was dismissed, or offenses about which inquiry is not permissible in this state)  

True   Not True  

If not true, please briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case. The church will not deny a position to any applicant solely because the person has been convicted of a crime. The church, however, may consider the nature, date and circumstances of the offense, as well as whether the offense is relevant to the duties of the position applied for.  

Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the responsibilities of the position for which you are applying?  

Yes   No  

If yes, please provide a brief explanation on the back of this form.  

The covenants between persons seeking authorized volunteer positions in the church require honesty, integrity, and truthfulness for the health of the church. To that end, I attest that the information set forth in this application is true and complete. I understand that any misrepresentation or omission may be grounds for rejection of consideration for, or termination of, the position I am seeking to fill. I acknowledge that it is my duty in a timely fashion to amend the responses and information I have provided if I come to know that the response or information was incorrect when given or, though accurate when given, the response or information is no longer accurate.  

Beginning such relationships with an open exchange of relevant information builds the foundation for a continuing and healthy covenant between volunteers and the church they seek to serve. To that end, I authorize West Congregational Church and/or its agents to make inquiries regarding my character and qualifications, including all statements I have set forth above. I also authorize all entities, persons, former employers, supervisors, courts, law enforcement, and other public agencies to respond to inquiries concerning me, to supply verification of the statements I have made, and to comment on and state opinions regarding my background, character, and qualifications. To encourage such persons and entities to speak openly and responsibly, I hereby release them from all liability arising from their responses, comments, and statements.  

West Congregational Church authorized volunteer recruitment process involves the sharing of information regarding applicants with those persons in a position to recruit, secure, and supervise both the position I am seeking to fill and program I am seeking to participate in. To that end, I authorize West Congregational Church and its agents to circulate, distribute, and otherwise share information gathered in connection with this application to such persons for these purposes. I understand that West Congregational Church will share with me information it has gathered about me, if I request it to do so.  

I acknowledge my receipt and understanding of the West Congregational Church Safe Church Policy.  

(PRINT NAME & SIGN)  DATE  

(PRINT NAME & SIGNATURE OF PARENT OR GUARDIAN FOR APPLICANTS UNDER 18)  DATE  

Form C.3.2 CHRI Screening Form 

West Congregational Church, Inc. 

Employment/Authorized Children and Youth Volunteer 

Application and Disclosure Form 

NAME: LAST  FIRST  MIDDLE  

ADDRESS: STREET  CITY/STATE  ZIP CODE  

DAYTIME PHONE  EVENING PHONE  EMAIL  

References: One reference should be related to you and the other references should not be related to you.  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

NAME  

ADDRESS  CITY/STATE  ZIP CODE  

TELEPHONE  EMAIL  

     I have been a member of this church since ________________________________   

    I have been a friend of this church since __________________________________  

I have never been convicted of, nor pled guilty or no contest to, a crime. (Exclude convictions that have been sealed, expunged or legally eradicated, misdemeanor convictions for which probation was completed and the case was dismissed, or offenses about which inquiry is not permissible in this state)  

True   Not True  

If not true, please briefly describe the nature of the crime(s), the date and place of conviction and the legal disposition of the case. The church will not deny a position to any applicant solely because the person has been convicted of a crime. The church, however, may consider the nature, date and circumstances of the offense, as well as whether the offense is relevant to the duties of the position applied for.  

No civil lawsuit alleging actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct has ever resulted in a judgment being entered against me, been settled out of court, or been dismissed because the statute of limitations has expired. 

True   Not True  

If not true, give a short explanation of the lawsuit. (Please indicate the date, nature, and place of the incident leading to the lawsuit; where the lawsuit was filed; and the precise disposition of the lawsuit.)  

I have never terminated my employment, professional credentials, or service in a volunteer position or had my employment, professional credentials, or authorization to hold a volunteer position terminated for reasons relating to allegations of actual or attempted sexual discrimination, harassment, exploitation, or misconduct; physical abuse; child abuse; or financial misconduct.  

True   Not True  

If not true, give a short explanation. (Please indicate the date of termination; name, address, and telephone number of employer or volunteer supervisor; and nature of the incident(s) leading to your termination.)  

Do you have a valid drivers’ license?  

Yes   No  

With respect to my driving record, I have not had my license suspended or revoked within the last five years due to reckless driving or driving while intoxicated and/or under the influence of a controlled substance.  

True   Not True  

Is there any fact or circumstance involving you or your background that would call into question your being entrusted with the responsibilities of the position for which you are applying?  

Yes   No  

If yes, please provide a brief explanation.  

The covenants between persons seeking authorized volunteer positions in the church require honesty, integrity, and truthfulness for the health of the church. To that end, I attest that the information set forth in this application is true and complete. I understand that any misrepresentation or omission may be grounds for rejection of consideration for, or termination of, the position I am seeking to fill. I acknowledge that it is my duty in a timely fashion to amend the responses and information I have provided if I come to know that the response or information was incorrect when given or, though accurate when given, the response or information is no longer accurate.  

Beginning such relationships with an open exchange of relevant information builds the foundation for a continuing and healthy covenant between employees, volunteers and the church they seek to serve. To that end, I authorize West Congregational Church and/or its agents to make inquiries regarding my character and qualifications, including all statements I have set forth above. I also authorize all entities, persons, former employers, supervisors, courts, law enforcement, and other public agencies to respond to inquiries concerning me, to supply verification of the statements I have made, and to comment on and state opinions regarding my background, character, and qualifications. To encourage such persons and entities to speak openly and responsibly, I hereby release them from all liability arising from their responses, comments, and statements.  

West Congregational Church authorized volunteer and employee recruitment process involves the sharing of information regarding applicants with those persons in a position to recruit, secure, and supervise both the position I am seeking to fill and program I am seeking to participate in. To that end, I authorize West Congregational Church and its agents to circulate, distribute, and otherwise share information gathered in connection with this application to such persons for these purposes. I understand that West Congregational Church will share with me information it has gathered about me, if I request it to do so.  

I acknowledge my receipt and understanding of the West Congregational Church Safe Church Policy.  

(PRINT NAME & SIGN)  DATE  

  

(PRINT NAME & SIGNATURE OF PARENT OR GUARDIAN FOR APPLICANTS UNDER 18)  DATE   

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Form C.4 Policies & Procedures Participant Covenant 

West Congregational Church, UCC  

Policies & Procedures Participant Covenant 

The West Church Policies and Procedures have been explained to me. I understand and agree to uphold them as I participate in the West Church ministry.  This includes at a minimum being: 

  • Committed to creating a safe and healthy environment at West Church 

  • To prevent abuse occurring at West Church 

  • To create and maintain a community in which all can worshi9p[ and work together in an atmosphere free of all forms of discrimination, harassment, exploitation, or intimidation. 

  • Responsible for knowing the possible impact of their words and actions on others. 

 I attended a training on  .   

Signature:  . 

Date:  

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Form D3.2/E.3.3 Child and Youth Registration Form 

West Congregational Church, UCC 

 Child and Youth Registration 

Child Name:   

School Grade       Birth date   Baptism date (if applicable)