Youth Information Form 2024
Please complete one form for each individual. 
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Email *
Parents Information
Mother's Name (Not mommy or mamsie...)
Mother's Surname
Mother's Contact Number
Father's Name (Not dad... or pappa...)
Father's Surname
Father's Contact Number
Mobile number to be used for all WhatsApp correspondence. *

E-mail address to be used for all correspondence.

 *

Your Information

Name

 *

What do your friends call you? (not "My BFF" or chomma...)

Surname *
Date of Birth *
MM
/
DD
/
YYYY
Gender  *
Grade in school this YEAR 2024  *
Required
What are your interests? (What makes you tick....?)
Do you have any allergies. (No... chores aren't an allergy) Please specify.  *
Tell us a bit about yourself.... we want the juicy details... *
AGREEMENT AND RELEASE OF LIABILITY

By ticking the "I Agree" box below you understand and agree to the terms below and hereby give your electronic signature. 

I hereby allow the release of photographs to be used for church-related purposes and publicity. Individuals will not be identified by name without permission.

I accept all responsibility and liability for any injury or loss or damage that occurs as a result of participation in church programs. I will indemnify and hold harmless Oasis Revival Ministry and volunteers from all claims, judgments, and costs incurred with any action that may be brought as a result of the individuals participation in church programs. I understand and agree to these terms.

 *
Required
A copy of your responses will be emailed to the address you provided.
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