Shady Grove UMC Youth Ministry Registration 2017-2018
Please fill out the form to help us keep our roster up to date for the 2017-2018 year.
First Name *
Your answer
Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
School Attending *
Your answer
Grade *
Address *
Your answer
Youth Email
Your answer
Youth Cell Phone
Your answer
Receive Text Message Updates
There is no additional charge for this service, your normal text messaging charges apply
Parent/Guardian 1 *
Your answer
Parent/Guardian 1 Email
Your answer
Parent/Guardian 1 Cell Phone
Your answer
Receive Text Message Updates(Parent/Guardian 1)
There is no additional charge for this service, your normal text messaging charges apply
Parent/Guardian 2
Your answer
Parent/Guardian 2 Email
Your answer
Parent/Guardian 2 Cell Phone
Your answer
Receive Text Message Updates(Parent/Guardian 2)
There is no additional charge for this service, your normal text messaging charges apply
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