Youth Group Registration Form
Please fill out this form and click submit.
Parent Name
*
Parent Email
*
This address will receive a confirmation email
Parent Cell Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Home Church
Name of Youth
*
Grade of Youth
*
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Select Option
6th
7th
8th
9th
10th
11th
12th
School Attending
*
Youth Cell
At different times we may use photos from Youth Group on such things as our newsletters, websites, and social media.
*
Please select one option.
Yes, I give my permission for the church to use photos of my child
Yes, I give my permission for the church to use photos of my child but Please blur the face of my child in all photos used on Social media
Do not take any photos of my child
Select Option
Yes, I give my permission for the church to use photos of my child
Yes, I give my permission for the church to use photos of my child but Please blur the face of my child in all photos used on Social media
Do not take any photos of my child
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following