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The Big First Baptist Youth Ministry Consent Form
This form covers all activities for the duration of your child’s involvement in our youth gatherings.
Some events will require special consent forms, which will be made available prior to those events.
Email address *
Teen name
Your answer
Teen birthdate
MM
/
DD
/
YYYY
Teen phone number (cell)
Your answer
Grade
School
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone
Your answer
Alternate Contact Name
Your answer
Alternate Contact Phone
Your answer
Family Doctor Name
Your answer
Family Doctor Phone
Your answer
Health Insurance / Health Card Number
Your answer
Teen health concerns (please specify allergies, health problems, medication, or other concerns)
Your answer
Food allergies or dietary restrictions
Your answer
Parent/guardian #1 Name
Your answer
Parent/guardian #1 Phone
Your answer
Parent/guardian #2 Name
Your answer
Parent/guardian #2 Phone
Your answer
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