Edgeboro Moravian Church, Youth Registration Form
This form is to be completed for all Youth who wish to participate in the Youth Ministry at Edgeboro Moravian Church, including Sunday School. If you have multiple children to register, you only need to fill out one form.
Section: Youth Information
NOTE: If you have multiple children, please supply information for your oldest child first. There will be an opportunity to supply information for your other children later in this form.
Name (Last)
Your answer
Name (First & Middle)
Your answer
Home Address
Your answer
Phone
Your answer
Birthdate
MM
/
DD
/
YYYY
Age
Your answer
School
Your answer
Grade (or grade entering)
Your answer
Custodial Care Information: Who does the child primarily live with?
Do you have other children to register?
Section: Multiple Children
Please continue if you have multiple children to register. If you do not have multiple children, please skip and continue on to the next section of the form.
Please supply the following information for each additional child: (Full Name, Birthdate, Age, School, Grade)
Your answer
For each child listed in the previous question, is any of the following information DIFFERENT than supplied above for the first child: 1) Home Address, 2) Phone, 3) Custodial Care Information? If yes, please specify. If no, please leave blank.
Your answer
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