First Youth Registration 2018-2019
Please register your youth for the 2018-2019 school year with First Youth Ministry. Even if they do not plan to participate we would still like them to be registered.
Youth First Name *
Your answer
Youth Last Name *
Your answer
Birthdate *
Your answer
Youth Cell Number (If they have one)
Your answer
Grade for 2018-2019 School Year *
Allergies or Special Concerns
Your answer
Insurance Information (Name of Insurance Company and Policy Number) *
Your answer
Parent/Guardian 1 First Name *
Your answer
Parent/Guardian 1 Last Name *
Your answer
Parent/Guardian 1 Phone Number (Cell) *
Your answer
Parent/Guardian 1 Email
Your answer
Parent/Guardian 2 First Name
Your answer
Parent/Guardian 2 Last Name
Your answer
Phone/Guardian 2 Number (Cell)
Your answer
Parent/Guardian 2 Email
Your answer
I understand and authorize that my youth's image may be photographed, filmed and be used in video presentations and printed publications including the church website or First UMC Facebook page or First UMC Youth Ministry Facebook or Instagram page. (If you check no, your child's picture will not be taken) *
Required
*By giving my email address, I understand I will be added to the First Youth email list. First UMC will not give away your personal information to any third parties.*
*By giving my email address, I understand I will be added to the First Youth email list. First UMC will not give away your personal information to any third parties.*
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