Youth Ministry Registration
All youth ministry participants are asked to register at this time.
Email *
Youth Participant Info
Name *
Date of Birth *
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Preferred Pronoun
Clear selection
School Grade (2019/2020) *
Which school does the participant attend? (2019/2020) *
Participant cell phone
Occasionally, our youth ministry staff will contact youth by text to check in or share updates about programs. Do we have permission to text this number?
Clear selection
All are welcome. Does the participant have special needs we should know about, so that we can provide the safest and most comfortable environment possible? (If yes, we will reach out for further discussion) *
Family Information
Home address *
Are you core members of Eastside Church? (For information only, all are welcome!)
Clear selection
Eastside Church requests the right to take photographs/videos of program participants for lawful purposes, including publicity, news reporting, and web content. *
Parent 1
Name *
Cell Phone *
Email Address *
Please enter any additional email addresses which should receive the Youth Ministry e-newsletter. The newsletter is the primary source for information about our events for youth. You can also follow us on Instagram (@eastsideyouthatl).
Youth Ministry programs are made possible by the service of dedicated adult volunteers. Would you like to learn more about volunteering in Youth Ministry? *
Parent 2
Name
Email
Cell phone
Youth Ministry programs are made possible by the service of dedicated adult volunteers. Would you like to learn more about volunteering in Youth Ministry?
Clear selection
Is there anything else you would like us to know about the participant(s)?
We ask all participants + parents to please read the Youth Community Covenant! *
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