MPC Youth Participation Form '19-20
Required for all participants in MPC Youth Ministry programs and events including Youth Group.
Expires September 1, 2020
Youth Information
First Name *
Your answer
Last Name *
Your answer
Preferred Name
Your answer
Preferred Gender Pronouns *
Date of birth *
MM
/
DD
/
YYYY
Youth Cell Phone
Your answer
New here? Welcome! Who are you coming with or who invited you? (if applicable)
Your answer
Do you give permission for this number to be added to our Remind101 "class" so they receive texts with the latest info, updates and reminders about MPC Youth Ministry events? *
Grade (for 2019-2020 school year) *
School Attending *
Family Email (youth ministry info and updates will be sent here) *
Your answer
Home Address *
Your answer
Home Church
Your answer
Parent/Guardian 1 Name *
Your answer
Parent/Guardian 1 Cell Phone Number *
Your answer
Do you give permission for this number to be added to our Remind101 "class" so they receive texts with the latest info, updates and reminders about MPC Youth Ministry events? *
Parent/Guardian 2 Name
Your answer
P/G 2 Cell Phone Number
Your answer
Parent/Guardian 3 or other Emergency Contact Name (Different than P/G 1 and 2 please) *
Your answer
Parent/Guardian 3 or other Emergency Contact Phone Number *
Your answer
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