Youth Group Registration 2025-26 Parent/Guardian Name * First Name Last Name Phone * (###) ### #### Email * Spouse/Partner First Name Last Name Phone (###) ### #### Email May we contact your spouse/partner about your child regarding important church information? * Yes No Emergency Contact Information Check if different from above Name * First Name Last Name Phone * (###) ### #### Relationship to Child * Child 1 Registration * First Name Last Name Preferred Nickname (if applicablle) First Name Last Name Gender Male Female Non-binary Grade during 25-26 Academic Year 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Special Needs or Allergies Child 2 Registration First Name Last Name Preferred Nickname (if applicablle) First Name Last Name Gender Male Female Non-binary Grade during 25-26 Academic Year 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Special Needs or Allergies It is our desire to partner with families in ministering to students where they are. Please include any information you feel is important for us to know in order to best minister to your student. What life events have made an impact? (divorce, awards/achievements, death of someone close, etc) Photo and live-stream video consent of your children to be used in church presentations and/or promotional material * Yes No Thank you!
